Organization Active NPI

Emad Khaleeli MD Inc

  • Cardiovascular Disease Physician
  • Torrance, CA
National Provider Identifier
1306961693
Registry record updated Mar 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A68108 Issued in CA
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

Updated by the provider on Mar 3, 2014

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

Authorized official

Name
Dr. Emad Khaleeli, M.D.NPI 1346273497
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)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
05D1013667OtherCACLIA
00A68108OtherCAMEDICAL ID NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070409000549 CA Part B Supplier - Clinic/Group Practice 8628172285 Receives reassigned benefits from 1 practitioner
Practice locations: Torrance, CA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.