Khalilullah Atai Medical and Wellness Center Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A113224 Issued in CA

Legal business name

KHALILULLAH ATAI MEDICAL AND WELLNESS CENTER INC.

Practice address

15051 Hesperian Blvd
San Leandro, CA 94578-3536

Phone

(510) 278-4800

Fax

(510) 651-0695

NPI assigned

May 31, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Soliman Sparta Atai, M.D.

Title

Medical Doctor

Phone

(510) 278-4800

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338422400000",
    "number": "1881955367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15051 HESPERIAN BLVD",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945783536",
            "telephone_number": "510-278-4800",
            "fax_number": "510-651-0695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15051 HESPERIAN BLVD",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945783536",
            "telephone_number": "510-278-4800",
            "fax_number": "510-651-0695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHALILULLAH ATAI MEDICAL AND WELLNESS CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-31",
        "last_updated": "2012-05-31",
        "status": "A",
        "authorized_official_last_name": "ATAI",
        "authorized_official_first_name": "SOLIMAN",
        "authorized_official_middle_name": "SPARTA",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "510-278-4800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A113224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Kessler
• Maisie Lasher Ketron, MSW
• Leterrence Keys
• Tanya Khabra
• Jaspreet Singh Khaira
• Asif Khan
• Nafiza Feroz Khan
• Shalesta Khan
• Kamiya Khatwani, DDS
• Hadie Khodabakhsh, M.D.

• Family Medicine Physician in San Leandro, CA
• Providers in San Leandro, 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 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.