Active NPI
Khalid Mohamed Eltawil, MD
- Pulmonary Disease Physician
- Torrance, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 201645
- Practice address
- 3701 Skypark Dr
#200
Torrance, CA 90505-4749 - Phone
- (310) 378-8900
- Fax
- (310) 791-0786
- NPI assigned
- Jan 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 201645 | CA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 201645 | CA | |
| Pulmonary Disease Physician | 207RP1001X | 201645 | CA | Primary |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | A66752 | CA |
Addresses
Primary practice location
3701 Skypark Dr
#200
Torrance, CA 90505-4749
Mailing address
3701 Skypark Dr
#200
Torrance, CA 90505-4749
Phone (310) 378-8900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396724399 | Other | CA | CCS PANELED |
| 1396724399 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2841 Lomita Blvd
Suite 235
Torrance, CA 90505-5111
Phone (310) 517-8950
Hospital & facility affiliations
- Torrance Memorial Medical Center
- Cedars-Sinai Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201645 | CA | MD | Critical Care Medicine (Internal Medicine) Physician |
| A66752 | CA | MD | Sleep Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Torrance Health Association Inc | Current | Accepting new patients | |
| Regents of the University of California | Pulmonary Disease | Current | Accepting new patients |
| Torrance Memorial Medical Center | Pulmonary Disease | Current | Accepting new patients |
| Providence Health System Southern California | Past | Accepting new patients | |
| Torrance Memorial Medical Center | Past | Accepting new patients |
Locations
File 55737
Los Angeles, CA 90074
514 N Prospect Ave
Fl 4
Redondo Beach, CA 90277
Phone (310) 750-3300
23326 Hawthorne Blvd
Ste 200
Torrance, CA 90505
Phone (310) 257-7205
2841 Lomita Blvd
Ste 235
Torrance, CA 90505
Phone (310) 517-8950
2841 Lomita Blvd
Ste 200
Torrance, CA 90505
Phone (310) 517-8952
3330 Lomita Blvd
Torrance, CA 90505
Phone (310) 517-4675
3701 Skypark Dr
Ste 200
Torrance, CA 90505
Phone (310) 378-8900
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.
-
- Family Medicine Physician
- Torrance, CA
- NPI 1083903124
-
- Pulmonary Disease Physician
- Torrance, CA
- NPI 1366789307
-
- Diagnostic Radiology Physician
- Torrance, CA
- NPI 1477502797
Pulmonary Disease
-
- General Acute Care Hospital
- Torrance, CA
- NPI 1902844988
-
- Skilled Nursing Facility
- Torrance, CA
- NPI 1740268713
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- West Hollywood, CA
- NPI 1891940326
-
- General Acute Care Hospital
- Torrance, CA
- NPI 1467459776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368144000000",
"number": "1396724399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 SKYPARK DR",
"address_2": "#200",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905054749",
"telephone_number": "310-378-8900",
"fax_number": "310-791-0786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 SKYPARK DR",
"address_2": "#200",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905054749",
"telephone_number": "310-378-8900",
"fax_number": "310-791-0786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELTAWIL",
"first_name": "KHALID",
"middle_name": "MOHAMED",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-10",
"last_updated": "2013-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "201645",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "CA",
"license": "201645",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "201645",
"primary": true
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "CA",
"license": "A66752",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCS PANELED",
"identifier": "1396724399",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1396724399",
"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 May 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.