Lina Khanukayev, PT, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

302607 Issued in CA

Practice address

24002 Via Fabricante Ste 501
Mission Viejo, CA 92691-3934

Phone

(949) 454-8811

NPI assigned

Aug 29, 2022

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1578283735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26921 LA ALAMEDA APT 3205",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926917373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24002 VIA FABRICANTE STE 501",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926913934",
            "telephone_number": "949-454-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANUKAYEV",
        "first_name": "LINA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "302607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elham Khajavi, D.D.S.
• Sawghar Khalaj, FNP
• Neloufar Aileen Khalilian
• Nadia Khamoo, APCC
• Samira Khan, MD
• Bahareh Bahadori Khavarian, M.D.
• Nika Sara Khoobiyary
• Farhad Khorashadi, M.D.
• Alissa Nicole Khosla, LCSW
• Kids Doc of Southern California Medical Group, Inc.

• Orthopedic Physical Therapist in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.