NPIMap

Individual provider Active NPI

Omar Khayyat, MD

  • Internal Medicine Physician
  • Chula Vista, CA
National Provider Identifier
1649711862
Registry record updated Jun 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A163653 Issued in CA
Practice address
435 H St
Chula Vista, CA 91910-4307
Phone
(619) 691-7000
NPI assigned
Mar 20, 2017
Last updated
Jun 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Student in an Organized Health Care Education/Training Program 390200000X A163653 CA
Internal Medicine Physician 207R00000X A163653 CA Primary

Addresses

Primary practice location

435 H St
Chula Vista, CA 91910-4307

Mailing address

435 H St
Chula Vista, CA 91910-4307
Phone (619) 691-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200901003202 CA Practitioner - Internal Medicine 1355763582 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Health Ave Clinic IncGroup PAC ID 0042685950, 2 clinicians
Scripps Health Inpatient Providers Medical Group IncGroup PAC ID 9436314762, 209 clinicians
East Campus Hospitalist Medical Group IncGroup PAC ID 7113361593, 27 clinicians

Practice addresses (Care Compare)

250 E Chase Ave
Suite 109
El Cajon, CA 92020-6305
Phone (619) 499-5006

435 H St
Chula Vista, CA 91910-4307
Phone (619) 691-7000

6655 Alvarado Rd
San Diego, CA 92120-5208
Phone (310) 698-5452

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A163653CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Ave Clinic Inc Internal Medicine CurrentSince Dec 17, 2022 Accepting new patients
East Campus Hospitalist Medical Group, Inc. Internal Medicine CurrentSince Feb 1, 2025 Accepting new patients
Scripps Health Current Accepting new patients
Scripps Health Current Accepting new patients
Scripps Health Inpatient Providers Medical Group Inc. CurrentSince May 9, 2020 Accepting new patients
Enlightened Healthcare Alliance Medical Corporation Internal Medicine CurrentSince Feb 1, 2021 Accepting new patients
24 On Physicians of California, PC CurrentSince Aug 1, 2020 Accepting new patients
Palomar Hospitalist Medical Group, Inc CurrentSince Apr 27, 2022 Accepting new patients
Ximed Hospitalists, Inc. CurrentSince Aug 30, 2024 Accepting new patients
North County Inpatient Medical Alliance, a Medical Group, Inc CurrentSince Feb 1, 2021 Accepting new patients
Premier Surgical Partners Inc Past Accepting new patients
Scripps Health Past Accepting new patients
Scripps Health Internal Medicine Past Accepting new patients

Locations

435 H St
Chula Vista, CA 91910
Phone (619) 691-7000

250 E Chase Ave
Ste 109
El Cajon, CA 92020
Phone (435) 619-2393

1415 Ross Ave
El Centro, CA 92243
Phone (760) 339-4045

354 Santa Fe Dr
Encinitas, CA 92024
Phone (760) 230-2251

662 Encinitas Blvd
Ste 204
Encinitas, CA 92024
Phone (760) 203-5545

662 Encinitas Blvd
Ste 220
Encinitas, CA 92024
Phone (760) 230-2251

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

15615 Pomerado Rd
Poway, CA 92064
Phone (858) 613-4000

1077 5TH Ave
San Diego, CA 92101

4077 5th Ave
#35
San Diego, CA 92103
Phone (619) 260-7220

6655 Alvarado Rd
San Diego, CA 92120
Phone (619) 229-3130

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: okhayyat34631@scrippshlth.medalliesdirect.net

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592611200000",
    "number": "1649711862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 H ST",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919104307",
            "telephone_number": "619-691-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 H ST",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919104307",
            "telephone_number": "619-691-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAYYAT",
        "first_name": "OMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-20",
        "last_updated": "2020-06-20",
        "certification_date": "2020-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "A163653",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A163653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.