Active NPI
Emad Khaleeli MD Inc
- Cardiovascular Disease Physician
- Torrance, CA
National Provider Identifier
1306961693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- A68108
- Legal business name
- EMAD KHALEELI MD INC
- Practice address
- 4305 Torrance Blvd
Suite #301
Torrance, CA 90503-4409 - Phone
- (310) 793-4327
- Fax
- (310) 793-4307
- NPI assigned
- Mar 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Emad Khaleeli, M.D.
- Title
- President
- Phone
- (310) 793-4327
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | A68108 | CA | Primary |
Addresses
Primary practice location
4305 Torrance Blvd
Suite #301
Torrance, CA 90503-4409
Mailing address
6121 Monero Dr
Rancho Palos Verdes, CA 90275-3310
Phone (310) 793-4327
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05D1013667 | Other | CA | CLIA |
| 00A68108 | Other | CA | MEDICAL ID NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4305 Torrance Blvd
Ste 301
Torrance, CA 90503
Phone (310) 793-4327
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Torrance, CA
- NPI 1346273497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1393804800000",
"number": "1306961693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6121 MONERO DR",
"city": "RANCHO PALOS VERDES",
"state": "CA",
"postal_code": "902753310",
"telephone_number": "310-793-4327",
"fax_number": "310-793-4307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4305 TORRANCE BLVD",
"address_2": "SUITE #301",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905034409",
"telephone_number": "310-793-4327",
"fax_number": "310-793-4307"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMAD KHALEELI MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-19",
"last_updated": "2014-03-03",
"status": "A",
"authorized_official_last_name": "KHALEELI",
"authorized_official_first_name": "EMAD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-793-4327",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "A68108",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "05D1013667",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL ID NUMBER",
"identifier": "00A68108",
"state": "CA"
}
],
"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 Mar 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.