Individual provider Active NPI

Nancy Khachi, DDS

  • Dentist
  • Torrance, CA
National Provider Identifier
1700939444
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
46080 Issued in CA
Practice address
4350 Redondo Beach Blvd
Torrance, CA 90504-1031
Phone
(310) 370-2966
Fax
(310) 891-1703
NPI assigned
Jan 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 46080 CA Primary

Addresses

Primary practice location

4350 Redondo Beach Blvd
Torrance, CA 90504-1031

Mailing address

4350 Redondo Beach Blvd
Torrance, CA 90504-1031
Phone (310) 370-2966

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160609002497 CA Order and Referring Only - DentistPractitioner - Dentist 2365732930

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46080CAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Nancy Khachi DDS Inc Dentist PastSince Aug 25, 2019 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1700939444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 REDONDO BEACH BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905041031",
            "telephone_number": "310-370-2966",
            "fax_number": "310-872-0940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 REDONDO BEACH BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905041031",
            "telephone_number": "310-370-2966",
            "fax_number": "310-891-1703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHACHI",
        "first_name": "NANCY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "46080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.