Individual provider Active NPI

Khasha Touloei, DO

  • Dermatology Physician
  • Orange, CA
National Provider Identifier
1861757320
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A14183 Issued in CA
Practice address
1506 E Chapman Ave
Orange, CA 92866-2231
Phone
(714) 538-8556
Fax
(714) 538-1082
NPI assigned
Jul 11, 2012
Last updated
Aug 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X A14183 CA Primary
Dermatology Physician 207N00000X UO3035 FL

Addresses

Primary practice location

1506 E Chapman Ave
Orange, CA 92866-2231

Mailing address

1506 E Chapman Ave
Orange, CA 92866-2231
Phone (714) 538-8556

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160802003232 CA Practitioner - Dermatology 5597073007 Reassigns benefits to 2 organizations
I20241030004456 WA Practitioner - Dermatology 5597073007 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1506 E Chapman Ave
Orange, CA 92866-2231
Phone (714) 538-8556

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision79
Removal of skin lesions2577
Removal of nail tissue1-10
Removal or shaving of skin growth39
Skin biopsy1359

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A14183CAMDDermatology Physician
UO3035FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chelan County Public Hospital District No 2 Single Specialty CurrentSince Oct 1, 2024 Accepting new patients
Khasha Touloei DO Inc Single Specialty Current Accepting new patients
Chelan County Public Hospital District No 2 Single Specialty CurrentSince Oct 1, 2024 Accepting new patients
Healthcare Partners Affiliates Medical Group Single Specialty CurrentSince Jul 11, 2016 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Jul 11, 2016 Accepting new patients
Khasha Touloei DO Inc Single Specialty CurrentSince Sep 1, 2021 Accepting new patients
Lake Chelan Clinic, P.C. Single Specialty Past Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients
St. Joseph Health Northern California, LLC Single Specialty Past Accepting new patients

Locations

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

1506 E Chapman Ave
Orange, CA 92866
Phone (714) 538-8556

797 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 535-2434

601 Torrance Blvd
#1182
Redondo Beach, CA 90277

110 S Apple Blossom Dr
Chelan, WA 98816
Phone (509) 682-3300

131 S Apple Blossom Dr
Chelan, WA 98816
Phone (509) 682-6134

219 E Johnson Ave
Chelan, WA 98816
Phone (509) 682-2511

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 9

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 1

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": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1861757320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 E CHAPMAN AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928662231",
            "telephone_number": "714-538-8556",
            "fax_number": "714-538-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 E CHAPMAN AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928662231",
            "telephone_number": "714-538-8556",
            "fax_number": "714-538-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOULOEI",
        "first_name": "KHASHA",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-11",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A14183",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "UO3035",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.