Individual provider Active NPI

Khadir F Kakal, MD

  • Internal Medicine Physician
  • Tarzana, CA
National Provider Identifier
1265699185
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
53365 Issued in MN
Practice address
18399 Ventura Blvd Ste 245
Tarzana, CA 91356-6403
Phone
(818) 609-7536
NPI assigned
May 19, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 53365 MN Primary

Addresses

Primary practice location

18399 Ventura Blvd Ste 245
Tarzana, CA 91356-6403

Mailing address

1200 Sixth Ave N
Centra Care Clinic
St Cloud, MN 56303-2735
Phone (320) 252-5131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160826001308 CA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 0941495717 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7320 Woodlake Ave
Suite 290
West Hills, CA 91307-1490
Phone (747) 236-1666

Hospital & facility affiliations

  • UCLA West Valley Medical Center Hospital, West Hills, CA, CCN 050481
  • Northridge Hospital Medical Center Hospital, Northridge, CA, CCN 050116
  • Ronald Reagan UCLA Medical Center Hospital, Los Angeles, CA, CCN 050262
  • Santa Monica - UCLA Med Ctr & Orthopaedic Hospital Hospital, Santa Monica, CA, CCN 050112

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
53365MNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David Taftian DO, Inc CurrentSince Apr 1, 2024 Accepting new patients
Kakal Pulmonary and Critical Care Inc. CurrentSince Jan 1, 2023 Accepting new patients
Centracare Clinic Past Accepting new patients
Centracare Clinic Past Accepting new patients

Locations

21820 Craggy View St
Chatsworth, CA 91311
Phone (818) 882-2833

1420 S Central Ave
Glendale, CA 91204
Phone (818) 502-1900

2123 Verdugo Blvd
Montrose, CA 91020
Phone (818) 249-3925

18040 Sherman Way
Ste 304
Reseda, CA 91335

7320 Woodlake Ave
Ste 290
West Hills, CA 91307
Phone (747) 236-1666

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19088/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1265699185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 SIXTH AVE N",
            "address_2": "CENTRA CARE CLINIC",
            "city": "ST CLOUD",
            "state": "MN",
            "postal_code": "563032735",
            "telephone_number": "320-252-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18399 VENTURA BLVD STE 245",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566403",
            "telephone_number": "818-609-7536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAKAL",
        "first_name": "KHADIR",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-19",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "53365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.