Active NPI
Mohamed Khalaf
- Pharmacist
- Hemet, CA
National Provider Identifier
1669845475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH63772
- Practice address
- 260N Sanderson
Hemet, CA 92545 - Phone
- (951) 658-3418
- Fax
- (951) 652-3874
- NPI assigned
- Nov 3, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH63772 | CA | Primary |
Addresses
Primary practice location
260N Sanderson
Hemet, CA 92545
Mailing address
33933 Turtle Creek St
Temecula, CA 92592-5671
Phone (805) 720-7455
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH63772 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446508800000",
"number": "1669845475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33933 TURTLE CREEK ST",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925925671",
"telephone_number": "805-720-7455",
"fax_number": "951-652-3874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260N SANDERSON",
"city": "HEMET",
"state": "CA",
"postal_code": "92545",
"telephone_number": "951-658-3418",
"fax_number": "951-652-3874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHALAF",
"first_name": "MOHAMED",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-11-03",
"last_updated": "2015-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH63772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hemet, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.