NPIMap

Individual provider Active NPI

Katayoun Khalighi, MD

  • Family Medicine Physician
  • Chino Hills, CA
National Provider Identifier
1861719221
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A110976 Issued in CA
Practice address
2140 Grand Ave
Suite 125
Chino Hills, CA 91709-6800
Phone
(909) 630-7875
Fax
(909) 630-7876
NPI assigned
Apr 26, 2010
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A110976 CA Primary

Addresses

Primary practice location

2140 Grand Ave
Suite 125
Chino Hills, CA 91709-6800

Mailing address

2140 Grand Ave
Suite 125
Chino Hills, CA 91709-6800
Phone (909) 630-7875

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110203000407 CA Practitioner - Family PracticePractitioner - Geriatric Medicine 8123208428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regents of the University ofGroup PAC ID 3779689518, 30 clinicians

Practice addresses (Care Compare)

101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-8068

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A110976CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of Family Medicine CurrentSince Mar 1, 2017 Accepting new patients
Bristol Park Medical Group, Inc Family Medicine Past Accepting new patients
University of California Irvine Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
University of California Irvine Past Accepting new patients

Locations

23961 Calle de la Magdalena
Ste 4
Laguna Hills, CA 92653

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

101 The City Dr S
Bldg 25B
Orange, CA 92868

Organizations & group practices 5

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

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1861719221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 GRAND AVE",
            "address_2": "SUITE 125",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917096800",
            "telephone_number": "909-630-7875",
            "fax_number": "909-630-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 GRAND AVE",
            "address_2": "SUITE 125",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917096800",
            "telephone_number": "909-630-7875",
            "fax_number": "909-630-7876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALIGHI",
        "first_name": "KATAYOUN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-26",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A110976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino Hills, CA

Sources for this page

Verify at the official NPI Registry.