Active NPI
Heideh Sedigheh Khalilnejadi, MD
- Family Medicine Physician
- San Jose, CA
National Provider Identifier
1528022852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A65025
- Practice address
- 751 S Bascom Ave
Urgent Care Clinic
San Jose, CA 95128-2604 - Phone
- (408) 885-5000
- NPI assigned
- Apr 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A65025 | CA | Primary |
Addresses
Primary practice location
751 S Bascom Ave
Urgent Care Clinic
San Jose, CA 95128-2604
Mailing address
1210E Arques Ave 203
Sunnyvale, CA 94085-5422
Phone (408) 738-0200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A650250 | 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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050328000418 | CA | Practitioner - Family Practice | 1052367687 | Practice locations: Sunnyvale, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A65025 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1528022852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1210E ARQUES AVE 203",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940855422",
"telephone_number": "408-738-0200",
"fax_number": "408-738-1700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 S BASCOM AVE",
"address_2": "URGENT CARE CLINIC",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951282604",
"telephone_number": "408-885-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHALILNEJADI",
"first_name": "HEIDEH",
"middle_name": "SEDIGHEH",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-13",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A65025",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A650250",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.