Active NPI
Khalil Jamal Carter, M.D.
- Obstetrics & Gynecology Physician
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- A113001
- Practice address
- 10470 Old Placerville Rd
Suite 100
Sacramento, CA 95827-2539 - Phone
- (800) 470-0071
- NPI assigned
- Jun 6, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 12907 | NV | |
| Obstetrics & Gynecology Physician | 207V00000X | A113001 | CA | Primary |
Addresses
Primary practice location
10470 Old Placerville Rd
Suite 100
Sacramento, CA 95827-2539
Mailing address
10470 Old Placerville Rd
Suite 100
Sacramento, CA 95827-2539
Phone (800) 470-0071
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225231582 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Duke University School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1204 Seward Ave
Searhc 1204 Behavioral Health Sitka
Sitka, AK 99835-7359
Phone (907) 966-8611
1206 Seward Ave
Searhc 1206 Behavioral Health Sitka
Sitka, AK 99835-7359
Phone (907) 966-8611
1209 Seward Ave
Searhc 1209 Behavioral
Sitka, AK 99835-7359
Phone (907) 966-8611
222 Tongass Dr
Sitka, AK 99835-9416
Phone (907) 966-2411
227 Tongass Dr
Sitka, AK 99835-9416
Phone (907) 966-2411
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12907 | NV | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Health | Current | Accepting new patients | |
| Emergency and Acute Care Medical Corporation | Current | Accepting new patients | |
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Obhg California, P.C. | Obstetrics & Gynecology | Current | Accepting new patients |
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Samir E. Hage, D.O., Inc. | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711
1600 W Avenue J
Lancaster, CA 93534
Phone (661) 726-6254
100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445
1809 National Ave
San Diego, CA 92113
Phone (619) 515-2500
823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323
3544 30th St
San Diego, CA 92104
Phone (619) 515-2424
7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400
Interoperability endpoints
- kcarter71792@scrippshlth.medalliesdirect.net
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1437103942
-
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1447281936
-
- Federally Qualified Health Center (FQHC)
- Escondido, CA
- NPI 1356178180
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- Obstetrics & Gynecology Physician
- Redlands, CA
- NPI 1811184179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754265600000",
"number": "1225231582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10470 OLD PLACERVILLE RD",
"address_2": "SUITE 100",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958272539",
"telephone_number": "800-470-0071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10470 OLD PLACERVILLE RD",
"address_2": "SUITE 100",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958272539",
"telephone_number": "800-470-0071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "KHALIL",
"middle_name": "JAMAL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-06",
"last_updated": "2025-08-04",
"certification_date": "2025-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NV",
"license": "12907",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "A113001",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1225231582",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.