Active NPI
Khadija Ismail, M.D.
- Emergency Medicine Physician
- Torrance, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A152016
- Practice address
- 1000 W Carson St
Torrance, CA 90502-2004 - Phone
- (310) 222-2345
- NPI assigned
- Mar 26, 2016
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | A152016 | CA | Primary |
Addresses
Primary practice location
1000 W Carson St
Torrance, CA 90502-2004
Mailing address
1000 W Carson St BLDG D9
Torrance, CA 90502-2059
Phone (424) 306-5442
Other practice location 1
9333 Imperial Hwy
Downey, CA 90242-2812
Phone (833) 574-2273
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Albert Einstein College of Medicine of Yeshiva University, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
751 S Bascom Ave
San Jose, CA 95128-2604
Phone (408) 885-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A152016 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Santa Clara | Current | Accepting new patients | |
| Permanente Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
| Providence Facey Medical Foundation | Current | Accepting new patients | |
| Permanente Medical Group, Inc | Current | Accepting new patients | |
| Solano Gateway Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
| Providence Facey Medical Foundation | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| Providence Facey Medical Foundation | Family Medicine | Current | Accepting new patients |
| Emergency Physicians Associates San Jose PC | Emergency Medicine | Current | Accepting new patients |
| County of Santa Clara | Emergency Medicine | Current | Accepting new patients |
| Your Health and Wellness PLLC | Past | Accepting new patients | |
| Alveo LC | Past | Accepting new patients |
Locations
750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131
26777 Agoura Rd
Ste 4
Calabasas, CA 91302
Phone (818) 880-2225
26777 Agoura Rd
Ste B4
Calabasas, CA 91302
Phone (818) 880-2225
4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738
900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014
101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109
5000 Hopyard Rd
Ste 100
Pleasanton, CA 94588
Phone (480) 861-4015
19950 Rinaldi St
Ste 103
Porter Ranch, CA 91326
Phone (818) 403-2400
725 S Pacific Coast Hwy
Redondo Beach, CA 90277
Phone (424) 296-3100
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
930 W Main St
Ripon, CA 95366
Phone (209) 599-4221
501 J St
Sacramento, CA 95814
Phone (916) 497-3000
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051
751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110
2105 Forest Ave
San Jose, CA 95128
Phone (408) 947-2500
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700
13303 Riverside Dr
Sherman Oaks, CA 91423
Phone (818) 287-7409
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834
Interoperability endpoints
- https://api.platform.athenahealth.com/27169/brand/1/csg/1/fhir/r4
- khadija.ismail.1@27169.direct.athenahealth.com
- kismail167049@santaclaravalley.direct-ci.net
Organizations & group practices 12
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1699885079
-
- Emergency Medicine Physician
- San Jose, CA
- NPI 1306311576
-
- Internal Medicine Physician
- Santa Clara, CA
- NPI 1073606299
Emergency Medicine
-
- Internal Medicine Physician
- Valencia, CA
- NPI 1710031588
Family Medicine
-
- Emergency Medicine Physician
- Fairfield, CA
- NPI 1952344293
-
- Pharmacy
- San Jose, CA
- NPI 1891871919
-
- Clinical Medical Laboratory
- San Jose, CA
- NPI 1497971584
-
- Multi-Specialty Clinic/Center
- Irvine, CA
- NPI 1891348447
-
- Urgent Care Clinic/Center
- Santa Clarita, CA
- NPI 1922651561
-
- Pulmonary Disease Physician
- Phoenix, AZ
- NPI 1639517436
-
- Primary Care Clinic/Center
- Phoenix, AZ
- NPI 1992476543
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Jose, CA
- NPI 1063406551
-
- General Acute Care Hospital
- San Jose, CA
- NPI 1063582989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578528000000",
"number": "1285096495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 W CARSON ST BLDG D9",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905022059",
"telephone_number": "424-306-5442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 W CARSON ST",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905022004",
"telephone_number": "310-222-2345"
}
],
"practiceLocations": [
{
"address_1": "9333 Imperial Hwy",
"address_purpose": "LOCATION",
"city": "Downey",
"state": "CA",
"postal_code": "902422812",
"country_code": "US",
"telephone_number": "833-574-2273",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ISMAIL",
"first_name": "KHADIJA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-26",
"last_updated": "2020-01-09",
"certification_date": "2020-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A152016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.