Individual provider Active NPI

Vady Khalil, OD

  • Optometrist
  • El Cajon, CA
National Provider Identifier
1275263584
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35137 Issued in CA
Practice address
300 S Pierce St # 200
El Cajon, CA 92020-4124
Phone
(619) 440-5400
NPI assigned
Jun 10, 2022
Last updated
Oct 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35137 CA Primary

Addresses

Primary practice location

300 S Pierce St # 200
El Cajon, CA 92020-4124

Mailing address

450 Fletcher Pkwy Ste 112
El Cajon, CA 92020-2520

Other practice location 1

700 W El Norte Pkwy Ste 200
Escondido, CA 92026-3923
Phone (760) 743-5872

Other practice location 2

6945 El Cajon Blvd
San Diego, CA 92115-1754
Phone (619) 697-4600

Other practice location 3

4344 Convoy St Ste C2
San Diego, CA 92111-3737
Phone (858) 565-8822

Other practice location 4

7339 El Cajon Blvd Ste Jk
LA Mesa, CA 91942-7435
Phone (619) 722-8460

Other practice location 5

320 Santa Fe Dr Ste 104
Encinitas, CA 92024-5139
Phone (800) 898-2020

Other practice location 6

300 S Pierce St
El Cajon, CA 92020-4124
Phone (619) 440-5400

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220701001170 CA Practitioner - Optometry 4587044995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

116 N Plaza St
Brawley, CA 92227-2426
Phone (760) 344-4330

300 S Pierce St
Suite 200
El Cajon, CA 92020-4124
Phone (619) 440-5400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35137CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Institute of California Medical Group, a California Medical Par Optometrist CurrentSince Oct 15, 2023 Accepting new patients
Retina Institute of California Medical Group, a California Medical Par Optometrist CurrentSince Jul 1, 2022 Accepting new patients
Retina Institute of California Medical Group, a California Medical Par Optometrist Past Accepting new patients
Barry Katzman, M.D., Inc., Apc Optometrist Past Accepting new patients

Locations

500 S Anaheim Hills Rd
Ste 234
Anaheim, CA 92807
Phone (714) 282-5437

9500 Stockdale Hwy
Ste 108
Bakersfield, CA 93311
Phone (661) 663-8500

116 N Plaza St
Brawley, CA 92227
Phone (760) 344-4330

11525 Brookshire Ave
Downey, CA 90241
Phone (562) 861-0954

300 S Pierce St
#200
El Cajon, CA 92020
Phone (619) 440-5400

300 S Pierce St
Ste 200
El Cajon, CA 92020
Phone (619) 440-5400

450 Fletcher Pkwy
Ste 112
El Cajon, CA 92020
Phone (619) 440-5400

1420 Ocotillo Dr
El Centro, CA 92243
Phone (760) 353-1140

320 Santa Fe Dr
Ste 104
Encinitas, CA 92024
Phone (760) 943-0501

700 W El Norte Pkwy
Ste 200
Escondido, CA 92026
Phone (607) 435-8727

9850 Genesee Ave
Ste 310
La Jolla, CA 92037
Phone (619) 457-3010

5565 Grossmont Center Dr
Ste 3
La Mesa, CA 91942
Phone (619) 465-3443

7339 El Cajon Blvd
Ste Jk
La Mesa, CA 91942
Phone (619) 722-8460

2240 E Plaza Blvd
Ste Fg
National City, CA 91950
Phone (619) 470-2700

655 Euclid Ave
Ste 302
National City, CA 91950
Phone (619) 472-1010

100 E California Blvd
Pasadena, CA 91105
Phone (626) 568-8838

6906 Brockton Ave
Ste 6
Riverside, CA 92506
Phone (951) 784-8373

4344 Convoy St
Ste C2
San Diego, CA 92111
Phone (858) 565-8822

6945 El Cajon Blvd
San Diego, CA 92115
Phone (619) 697-4600

58471 29 Palms Hwy
Ste 203
Yucca Valley, CA 92284
Phone (760) 365-7651

58471 29 Palms Hwy
Ste 302
Yucca Valley, CA 92284
Phone (760) 228-1766

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1275263584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 FLETCHER PKWY STE 112",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920202520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S PIERCE ST # 200",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920204124",
            "telephone_number": "619-440-5400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 W El Norte Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "920263923",
            "country_code": "US",
            "telephone_number": "760-743-5872",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6945 El Cajon Blvd",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921151754",
            "country_code": "US",
            "telephone_number": "619-697-4600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4344 Convoy St Ste C2",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921113737",
            "country_code": "US",
            "telephone_number": "858-565-8822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7339 El Cajon Blvd Ste Jk",
            "address_purpose": "LOCATION",
            "city": "LA Mesa",
            "state": "CA",
            "postal_code": "919427435",
            "country_code": "US",
            "telephone_number": "619-722-8460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 Santa Fe Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Encinitas",
            "state": "CA",
            "postal_code": "920245139",
            "country_code": "US",
            "telephone_number": "800-898-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 S Pierce St",
            "address_purpose": "LOCATION",
            "city": "El Cajon",
            "state": "CA",
            "postal_code": "920204124",
            "country_code": "US",
            "telephone_number": "619-440-5400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHALIL",
        "first_name": "VADY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-10",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

Verify at the official NPI Registry.