Individual provider Active NPI

Nasim Kalhor, DPM

  • Podiatrist
  • Oxnard, CA
National Provider Identifier
1396708772
Registry record updated Mar 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E4581 Issued in CA
Practice address
2100 Solar Dr.
Suite # 102
Oxnard, CA 93036
Phone
(805) 988-3338
Fax
(805) 830-1537
NPI assigned
Apr 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E4581 CA Primary

Addresses

Primary practice location

2100 Solar Dr.
Suite # 102
Oxnard, CA 93036

Mailing address

2100 Solar Dr.
Suite # 102
Oxnard, CA 93036
Phone (805) 988-3338

Other identifiers 5

IdentifierTypeStateIssuer
W11945AOtherCAMEDICARE ID - LANCASTER
WE4581BOtherCAMEDICARE ID- LANCASTER
DA0572OtherCARAILROAD CARRIER
W11945OtherCAMEDICARE ID - SHERMAN OAKS
WE4581AOtherCAMEDICARE ID - SHERMAN OAKS

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051005000504 CA Practitioner - Podiatry 9638104961 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot and Ankle Concepts IncGroup PAC ID 5395770085, 10 clinicians

Practice addresses (Care Compare)

2100 Solar Dr
Suite 102
Oxnard, CA 93036-0649
Phone (805) 988-3338

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1013
Removal of skin lesions436
Removal of nail tissue500
Removal or shaving of skin growth856
Skin biopsy33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
E4581CAMDPodiatrist
4581CAMDMental Health Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot & Ankle Concepts, Inc Podiatrist CurrentSince Feb 5, 2018 Accepting new patients
Hassell Free Billing, LLC Current Accepting new patients
Domenick J Sisto M D Inc CurrentSince Oct 1, 2005 Accepting new patients

Locations

2100 Solar Dr
Ste 102
Oxnard, CA 93036
Phone (805) 650-8333

38660 Medical Center Dr
Ste A250
Palmdale, CA 93551
Phone (661) 267-7777

650 Commerce Ave
Ste D
Palmdale, CA 93551
Phone (661) 272-6898

4955 Van Nuys Blvd
Ste 615
Sherman Oaks, CA 91403
Phone (818) 905-2222

3180 Willow Ln
Ste 108
Thousand Oaks, CA 91361
Phone (805) 370-3338

250 S Mills Rd
Ste 101
Ventura, CA 93003
Phone (805) 650-8333

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GJEEDD
  • Direct secure messaging: nkalhor@laoi1795.srs-direct.com

Organizations & group practices 3

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": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520812800000",
    "number": "1396708772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 SOLAR DR.",
            "address_2": "SUITE # 102",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "93036",
            "telephone_number": "805-988-3338",
            "fax_number": "805-830-1537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 SOLAR DR.",
            "address_2": "SUITE # 102",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "93036",
            "telephone_number": "805-988-3338",
            "fax_number": "805-830-1537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALHOR",
        "first_name": "NASIM",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-07",
        "last_updated": "2018-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E4581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID - LANCASTER",
            "identifier": "W11945A",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID- LANCASTER",
            "identifier": "WE4581B",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD CARRIER",
            "identifier": "DA0572",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID - SHERMAN OAKS",
            "identifier": "W11945",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID - SHERMAN OAKS",
            "identifier": "WE4581A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

Verify at the official NPI Registry.