Active NPI
Sabeen Khalid, OD
- Optometrist
- La Palma, CA
National Provider Identifier
1255164844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 35700
- Practice address
- 4521 Kathy Dr
La Palma, CA 90623-1668 - Phone
- (714) 348-9389
- NPI assigned
- Aug 21, 2024
- Last updated
- Aug 21, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 35700 | CA | Primary |
Addresses
Primary practice location
4521 Kathy Dr
La Palma, CA 90623-1668
Mailing address
4521 Kathy Dr
La Palma, CA 90623-1668
Phone (714) 348-9389
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35700 | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724198400000",
"number": "1255164844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4521 KATHY DR",
"city": "LA PALMA",
"state": "CA",
"postal_code": "906231668",
"telephone_number": "714-348-9389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4521 KATHY DR",
"city": "LA PALMA",
"state": "CA",
"postal_code": "906231668",
"telephone_number": "714-348-9389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHALID",
"first_name": "SABEEN",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-21",
"last_updated": "2024-08-21",
"certification_date": "2024-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "35700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Palma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.