Individual provider Active NPI

Balraj Singh Khehra, P.T.

  • Specialist
  • Hemet, CA
National Provider Identifier
1821143264
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT29052 Issued in CA
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

Updated by the provider on Aug 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20070413000515 CA Practitioner - Physical Therapist in Private Practice 2961507322 Reassigns benefits to 2 organizations

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
Vnex Rehab IncGroup PAC ID 3173951969, 4 clinicians

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

LicenseStateTypeSpecialty
29052CAMDOrthodontics and Dentofacial Orthopedic Dentist
PT29052CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Ironstone Medical Clinic Inc CurrentSince Dec 13, 2016 Accepting new patients
Vnex Rehab, Inc. Specialist CurrentSince Jan 20, 2020 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.

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.

Verify at the official NPI Registry.