Amjad Al-Khawaldeh, PHD, CNS, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95006131 Issued in CA

Practice address

24953 Paseo de Valencia Ste 24a
Laguna Hills, CA 92653-4343

Phone

(714) 875-3755

NPI assigned

Feb 9, 2017

Last updated

Jun 1, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

93.07 of 100Reported as group

Quality

82.43

Promoting interoperability

100

Improvement activities

40

Cost

65.06

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Nurse Practitioner, Doctor of Philosophy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shifa Regenerative Center and Pain Management

  • Pain Clinic/Center
  • Laguna Hills, CA
  • NPI 1518846385
  Medicare reassignment NPD Authorized official
• UC Regents

  dba UCI Department of Medicine

  • Infectious Disease Physician
  • Orange, CA
  • NPI 1760430847
  Medicare reassignment NPD
• UC Regents

  dba UCI Department of Medicine

  • Hematology & Oncology Physician
  • Orange, CA
  • NPI 1356399380
  NPD
• UC Regents

  dba UCI Department of Medicine

  • Pulmonary Disease Physician
  • Orange, CA
  • NPI 1629026729
  NPD

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1477091445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 FALLEN LEAF PL",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806713",
            "telephone_number": "714-875-3755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24953 PASEO DE VALENCIA STE 24A",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926534343",
            "telephone_number": "714-875-3755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-KHAWALDEH",
        "first_name": "AMJAD",
        "name_prefix": "Prof.",
        "credential": "PHD, CNS, NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-09",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95006131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Akuwell LLC
• Al Manesh DMD Inc (Mission Dental Implant Center)
• Al-Abdulla DDS Inc
• Angham Al-Abdulla, D.D.S.
• Rachelle Al-Kazzi
• Dalia Al-Mudallal, M.D.
• Aladino Razo Psychiatric PC
• Nili N. Alai, M.D.
• Gamiel Alamares
• Christina Alba

• Nurse Practitioner in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; 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.

Verify at the official NPI Registry.