Active NPI
Aisha Keekeebhai, NP
- Obstetrics & Gynecology Nurse Practitioner
- Hawthorne, CA
National Provider Identifier
1386893766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- 532567
- Practice address
- 12954 Hawthorne Blvd
Suite 100
Hawthorne, CA 90250-4418 - Phone
- (310) 978-6900
- NPI assigned
- Sep 10, 2008
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 532567 | CA | Primary |
Addresses
Primary practice location
12954 Hawthorne Blvd
Suite 100
Hawthorne, CA 90250-4418
Mailing address
3715 Kelton Ave
#3
Los Angeles, CA 90034-7118
Phone (310) 837-5918
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)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 532567 | CA | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Health Services, Inc. | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/9218/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
-
- Federally Qualified Health Center (FQHC)
- Hawthorne, CA
- NPI 1013528108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221004800000",
"number": "1386893766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3715 KELTON AVE",
"address_2": "#3",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900347118",
"telephone_number": "310-837-5918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12954 HAWTHORNE BLVD",
"address_2": "SUITE 100",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902504418",
"telephone_number": "310-978-6900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEEKEEBHAI",
"first_name": "AISHA",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-10",
"last_updated": "2008-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "CA",
"license": "532567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hawthorne, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.