Individual provider Active NPI

Emad Khaleeli, M.D.

  • Cardiovascular Disease Physician
  • Torrance, CA
National Provider Identifier
1346273497
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
Practice address
4305 Torrance Blvd
Suite #301
Torrance, CA 90503-4409
Phone
(310) 793-4327
Fax
(310) 793-4307
NPI assigned
Jul 9, 2006
Sex
Male
Sole proprietor
Yes

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 1

IdentifierTypeStateIssuer
05D1013667OtherCACLIA

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
I20040331001030 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8729070776 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Rochester School of Medicine and Dentistry, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Southern California Hospitalist Network Medical Group IncGroup PAC ID 8921990110, 76 clinicians

Practice addresses (Care Compare)

4305 Torrance Blvd
Suite 301
Torrance, CA 90503-4403
Phone (310) 793-4327

625 The City Dr S
Suite 320
Orange, CA 92868-4978
Phone (714) 202-2330

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A68108CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Torrance Memorial Medical Center CurrentSince Jun 8, 2015 Accepting new patients
Emad Khaleeli MD Inc Cardiovascular Disease CurrentSince Nov 1, 2006 Accepting new patients
Torrance Memorial Medical Center CurrentSince Jun 8, 2015 Accepting new patients
Hosayn Khaleeli, M D Inc. Past Accepting new patients

Locations

3330 Lomita Blvd
Torrance, CA 90505
Phone (310) 517-4675

4101 Torrance Blvd
Torrance, CA 90503
Phone (310) 540-7676

4305 Torrance Blvd
Ste 305
Torrance, CA 90503
Phone (310) 371-2288

4201 Torrance Blvd
Ste 250
Torrance, CA 90503
Phone (310) 412-1096

4305 Torrance Blvd
Ste 301
Torrance, CA 90503
Phone (310) 793-4327

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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 2

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": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393804800000",
    "number": "1346273497",
    "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": {
        "last_name": "KHALEELI",
        "first_name": "EMAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2014-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_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"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.