Individual provider Active NPI

Suheir Kilani, PA-C

  • Medical Physician Assistant
  • Anaheim, CA
National Provider Identifier
1346434297
Registry record updated Mar 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
18023 Issued in CA
Practice address
9918 Katella Ave
C
Anaheim, CA 92804-6465
Phone
(714) 625-8320
Fax
(714) 583-7660
NPI assigned
Sep 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 18023 CA Primary

Addresses

Primary practice location

9918 Katella Ave
C
Anaheim, CA 92804-6465

Mailing address

6535 Montaire St
La Palma, CA 90623-1057
Phone (714) 610-2584

Other identifiers 1

IdentifierTypeStateIssuer
18023OtherCALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
18023CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Urgent Care Inc Current Accepting new patients
Memorial Medical Group Inc Past Accepting new patients

Locations

9918 Katella Ave
Ste C
Anaheim, CA 92804
Phone (714) 625-8320

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332547200000",
    "number": "1346434297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6535 MONTAIRE ST",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906231057",
            "telephone_number": "714-610-2584",
            "fax_number": "877-306-3061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9918 KATELLA AVE",
            "address_2": "C",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928046465",
            "telephone_number": "714-625-8320",
            "fax_number": "714-583-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILANI",
        "first_name": "SUHEIR",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-04",
        "last_updated": "2012-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "18023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "18023",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.