Individual provider Active NPI

Khalil Khayambashi, DPT

  • Physical Therapist
  • Sherman Oaks, CA
National Provider Identifier
1740172097
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15977 Issued in CA
Practice address
15125 Ventura Blvd Ste 2000
Sherman Oaks, CA 91403-3306
Phone
(818) 646-0040
NPI assigned
Jul 18, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 15977 CA Primary

Addresses

Primary practice location

15125 Ventura Blvd Ste 2000
Sherman Oaks, CA 91403-3306

Mailing address

15125 Ventura Blvd Ste 200
Sherman Oaks, CA 91403-3306
Phone (818) 646-0046

Other names 1

  • Dr. Khalil Khayam Bashi Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250814003787 CA Practitioner - Physical Therapist in Private Practice 7911406236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1989
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

15125 Ventura Blvd
Suite 200
Sherman Oaks, CA 91403-3306

4237 Longridge Ave Unit
Suite 103
Studio City, CA 91604-1876

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1752796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1740172097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15125 VENTURA BLVD STE 200",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033306",
            "telephone_number": "818-646-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15125 VENTURA BLVD STE 2000",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033306",
            "telephone_number": "818-646-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAYAMBASHI",
        "first_name": "KHALIL",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-18",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "15977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KHALIL",
            "last_name": "BASHI",
            "middle_name": "KHAYAM",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.