Active NPI
Balraj Singh Khehra, P.T.
- Specialist
- Hemet, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PT29052
- Practice address
- 2390 E Florida Ave
Ste 201
Hemet, CA 92544-4754 - Phone
- (951) 237-8304
- NPI assigned
- Jan 24, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Specialist | 174400000X | PT29052 | CA | Primary |
Addresses
Primary practice location
2390 E Florida Ave
Ste 201
Hemet, CA 92544-4754
Mailing address
2390 E Florida Ave
Ste 201
Hemet, CA 92544-4754
Phone (951) 237-8304
Other practice location 1
2390 E Florida Ave
#108
Hemet, CA 92544-4707
Phone (951) 765-1333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Loma Linda University School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16270 Heritage Grove Rd
Riverside, CA 92504-5221
29826 Haun Rd
Suite 200
Menifee, CA 92586-6547
Phone (951) 237-8304
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29052 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| PT29052 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ironstone Medical Clinic Inc | Current | Accepting new patients | |
| Vnex Rehab, Inc. | Specialist | Current | Accepting new patients |
| Santa Ana Prohealth Medical Clinic Inc | Past | Accepting new patients |
Locations
2390 E Florida Ave
Ste 201
Hemet, CA 92544
Phone (909) 765-1333
2390 E Florida Ave
Hemet, CA 92544
Phone (951) 765-1474
2390 E Florida Ave
Ste 108
Hemet, CA 92544
Phone (909) 929-1611
4121 Brockton Ave
Ste 104
Riverside, CA 92501
Phone (951) 319-2739
4200 Latham St
Ste B
Riverside, CA 92501
Phone (951) 332-9833
29826 Haun Rd
Ste 106
Sun City, CA 92586
Phone (951) 281-2901
29826 Haun Rd
Ste 200
Sun City, CA 92586
Phone (951) 237-8304
Organizations & group practices 3
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.
-
- Specialist
- Hemet, CA
- NPI 1134776107
-
- General Practice Physician
- Riverside, CA
- NPI 1851587448
-
- Clinic/Center
- Santa Ana, CA
- NPI 1619153111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659312000000",
"number": "1821143264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2390 E FLORIDA AVE",
"address_2": "STE 201",
"city": "HEMET",
"state": "CA",
"postal_code": "925444754",
"telephone_number": "951-237-8304",
"fax_number": "951-777-5399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2390 E FLORIDA AVE",
"address_2": "STE 201",
"city": "HEMET",
"state": "CA",
"postal_code": "925444754",
"telephone_number": "951-237-8304"
}
],
"practiceLocations": [
{
"address_1": "2390 E Florida Ave",
"address_2": "#108",
"address_purpose": "LOCATION",
"city": "Hemet",
"state": "CA",
"postal_code": "925444707",
"country_code": "US",
"telephone_number": "951-765-1333",
"fax_number": "951-765-1444",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHEHRA",
"first_name": "BALRAJ",
"middle_name": "SINGH",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-24",
"last_updated": "2022-08-01",
"certification_date": "2022-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "PT29052",
"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 Aug 1, 2022; 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.