Mohammad R Khayali, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

A29943 Issued in CA

Practice address

395 N San Jacinto St
Ste #a
Hemet, CA 92543-3109

Phone

(951) 652-6564

Fax

(951) 765-9875

NPI assigned

Jul 21, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164442000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44273 FRENCH CIR",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925446679",
            "telephone_number": "951-927-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 N SAN JACINTO ST",
            "address_2": "STE #A",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925433109",
            "telephone_number": "951-652-6564",
            "fax_number": "951-765-9875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAYALI",
        "first_name": "MOHAMMAD",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A29943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A299430",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A29943",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Neurology Physician in Hemet, CA
• Providers in Hemet, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.