Mohammad R. Khayali, MD a Professional Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

License

A29943 Issued in CA

Legal business name

MOHAMMAD R. KHAYALI, MD A PROFESSIONAL CORPORATION

Practice address

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

Phone

(951) 652-6564

NPI assigned

Mar 26, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Mohammad R Khayali, MD

Title

President

Phone

(951) 652-6564

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206489600000",
    "number": "1255503645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMAD R. KHAYALI, MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-26",
        "last_updated": "2008-03-26",
        "status": "A",
        "authorized_official_last_name": "KHAYALI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-652-6564",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "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": []
}

• Carol Anne Mock, FNP-CS
• Erin Moen, PTA
• Katarina Moga
• Mogbonjubola a Adeyemo MD Professional Medical Corporation
• Mohammad Abul Fielat DDS Inc
• Thomas Paul Mohr, M.D.
• Tamanna Vinodkumar Mohta
• Yvonne Michelle Moimoi, CAARR
• Ana Cristina Molina
• Jared Molitoris, MD

• Specialist in Hemet, CA
• Providers in Hemet, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; 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.