Active NPI
Khalid Alhezaimi, BDS
- Endodontics
- Los Angeles, CA
National Provider Identifier
1265139075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- SP302
- Practice address
- 1031 W 34TH St Ste 401
Los Angeles, CA 90089-3603 - Phone
- (213) 740-2012
- NPI assigned
- Feb 13, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | SP302 | CA | Primary |
Addresses
Primary practice location
1031 W 34TH St Ste 401
Los Angeles, CA 90089-3603
Mailing address
1031 W 34TH St Ste 401
Los Angeles, CA 90089-3603
Phone (213) 740-2012
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 |
|---|---|---|---|
| SP302 | CA | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676246400000",
"number": "1265139075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1031 W 34TH ST STE 401",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900893603",
"telephone_number": "213-740-2012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1031 W 34TH ST STE 401",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900893603",
"telephone_number": "213-740-2012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALHEZAIMI",
"first_name": "KHALID",
"credential": "BDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-02-13",
"last_updated": "2023-02-13",
"certification_date": "2023-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "SP302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
- Allison Vegafria Algoso
- Imad Alhajj
- Alhambra Services Corporation (Bethany Towers)
- Maria Valentina Alhambra, MSW
- Omar Salem M Alharbi, M.D.
- Amir Alhoroub
- Ramsey Alhosri, MD
- Ali Esfahani DDS Inc.
- Ali John Enayati MD MPH Professional Medical Corporation (Century Wellness Center)
- Ali Khosrovani DDS Inc (A Briter Smile Dental Group)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.