Manoutcher Khalili, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A52178 Issued in CA

Practice address

1146 W Redondo Beach Blvd
Gardena, CA 90247-3538

Phone

(323) 428-9999

Fax

(310) 323-0216

NPI assigned

May 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Practice

Education

Other, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

J and M Laurel Medical Center IncGroup PAC ID 5395155253, 2 clinicians

La Familia Medical Clinic IncGroup PAC ID 5597080440, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Crest Health Services, Inc. Home health agency, Northridge, CA, CCN 757727
• Blue Star Home Health Inc Home health agency, Woodland Hills, CA, CCN 058247

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• J & M Laurel Medical Center Inc

  • General Practice Physician
  • Pacoima, CA
  • NPI 1174120349

  Family Medicine

  Medicare reassignment Care Compare group NPD
• La Familia Medical Clinic Inc.

  • Family Medicine Physician
  • Van Nuys, CA
  • NPI 1912310566
  Medicare reassignment Care Compare group NPD
• Deanco Healthcare LLC.

  dba Mission Community Hospital

  • Psychiatric Hospital Unit
  • Panorama City, CA
  • NPI 1013061597
  NPD (past)
• Gardena Hospital LP

  dba Memorial Hospital of Gardena Pharmacy

  • Institutional Pharmacy
  • Gardena, CA
  • NPI 1669491700
  NPD (past)
• Mirshojae Chiropractic Inc.

  • Chiropractor
  • Reseda, CA
  • NPI 1831504273
  NPD (past)
• Peter Jahangir Parker M D Inc.

  • Allergy & Immunology Physician
  • Glendale, CA
  • NPI 1184721284

  General Practice

  NPD (past)
• Peter Jahangir Parker, MD, Inc.

  dba Peter J Parker MD

  • Allergy & Immunology Physician
  • Glendale, CA
  • NPI 1720290364
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Blue Star Home Health Inc

  • Home Health Agency
  • Woodland Hills, CA
  • NPI 1508816299
  Care Compare affiliation
• Crest Health Services, Inc.

  • Home Health Agency
  • Valley Village, CA
  • NPI 1134872237
  Care Compare affiliation

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464048000000",
    "number": "1861446841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 VANALDEN AVE",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913565516",
            "telephone_number": "818-757-7246",
            "fax_number": "310-323-0216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1146 W REDONDO BEACH BLVD",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473538",
            "telephone_number": "323-428-9999",
            "fax_number": "310-323-0216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALILI",
        "first_name": "MANOUTCHER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2016-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A52178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Key, PMHNP
• Christa Timil Jafre Keyes-Venson
• Nidal Khaja, D.P.M.
• Anna Marie Khaldi
• Mena Khalil
• Khadeer Khan, MSN, DNP, FNP, PMHNP
• Melba K Khan, NONE
• Salar Khorramnezhad
• Sara Joelle Khoury
• Kigawa Chiropractic, Inc. (Chie Kigawa D.C.)

• Family Medicine Physician in Gardena, CA
• Providers in Gardena, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.