NIDAL ALI KHALILI (NPI# 1407818503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407818503 |
| Entity Type | Individual |
| Full Name | NIDAL ALI KHALILI |
| Credential | MD |
| Practice Address |
7551 Timberlake Way Ste 240 Sacramento CA 95823-5422 |
| Practice Telephone | 9166819401 |
| Practice Fax Number | 9166819417 |
| Mailing Telephone | 9166819401 |
| Mailing Fax Number | 9166819417 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2017-03-13 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
A88175 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
7551 TIMBERLAKE WAY STE 240 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95823-5422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861813362 | Restpadd Health Corp | Clinic/Center | 7551 Timberlake Way, Sacramento, CA 95823-5420 | 2013-12-30 |
| 1184063604 | Harry A. Khasigian A Medical Corporation | Specialist | 7551 Timberlake Way, Suite 200, Sacramento, CA 95823-5420 | 2013-06-18 |
| 1013355585 | Health and Life Organization, Inc. | Clinic/Center | 7551 Timberlake Way, Suite# 240, Sacramento, CA 95823-5420 | 2013-06-06 |
| 1881999811 | Timberlake Physical Therapy, Inc. | Physical Therapist | 7551 Timberlake Way, Suite 200, Sacramento, CA 95823-5420 | 2011-01-23 |
| 1619141371 | Marlene Terry Brent | Social Worker | 7551 Timberlake Way, Suite 240, Sacramento, CA 95823-5420 | 2008-04-14 |
| 1780860585 | Daniel M Damico M D A Professional Corporation | Orthopaedic Surgery | 7551 Timberlake Way, Suite 200, Sacramento, CA 95823-5420 | 2008-01-11 |
| 1124209861 | Carolyn T Peretti | Physical Therapist | 7551 Timberlake Way, Suite 200, Sacramento, CA 95823 | 2007-11-23 |
| 1811017536 | James W. Brode, Md., Inc. | Specialist | 7551 Timberlake Way, Suite 240, Sacramento, CA 95823-5420 | 2007-03-29 |
| 1487701850 | Barbara J Arnold | Ophthalmology | 7551 Timberlake Way, Ste 100, Sacramento, CA 95823-5421 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343422 | Renee Yvonne Friesner | Registered Nurse | 6965 65th Street, Sacramento, CA 95823 | 2020-10-12 |
| 1790392165 | Amanda Moore | Technician | 6445 Village Center Dr, Building 7 Apt 101, Sacramento, CA 95823 | 2020-09-29 |
| 1114562766 | Daniel & Max, LLC | Optometrist | 4200 Florin Road, Suite C, Florin, CA 95823 | 2019-11-07 |
| 1396393823 | Lannon Hope Gustafson | Counselor | 8573 E Southgate Dr., Sacramento, CA 95823 | 2019-08-28 |
| 1932768280 | Sprenger Behavioral Medicine, Inc | Psychiatry & Neurology | 7601 Hospital Drive Suite 202, Suite 202, Sacramento, CA 95823 | 2019-06-11 |
| 1306316880 | Evin Johnson | Case Manager/Care Coordinator | 7000 Franklin Blvd Suite 625, Sacramento, CA 95823 | 2018-11-28 |
| 1902373095 | Alexandra L Bourcy | Family Medicine | 7275 E Southgate Dr Ste 204-206, Sacramento, CA 95823 | 2018-10-27 |
| 1891298923 | Nicholas Joseph Henderson | Behavior Technician | 6500 47th Street Apt#76, Sacramento, CA 95823 | 2018-03-15 |
| 1427567098 | Luz Maria Udave | Behavior Technician | 5435 Mack Rd Apt 87, Sacramento, CA 95823 | 2017-09-26 |
| 1417474743 | Elizabeth Smithers | Behavior Technician | 5545 Sky Parkway #202, Sacramento, CA 95823 | 2017-08-28 |
| Find all providers in zip 95823 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952738270 | Marshall Gollub | Psychiatry & Neurology | 1400 Jonas Ave., Sacramento, CA 95864 | 2013-10-01 |
| 1194160242 | Glen C Jickling | Psychiatry & Neurology | 2805 50th St, Rm 2415, Mind Institute, University of California Davis, Sacramento, CA 95817-2312 | 2013-05-02 |
| 1376886606 | Katherine Park | Psychiatry & Neurology | 3160 Folsom Blvd Ste 2100, Sacramento, CA 95816 | 2013-04-04 |
| 1700926920 | Fred R Samimi, Md, A Professional Corporation | Psychiatry & Neurology | 8765 Center Pkwy, #d, Sacramento, CA 95823-7682 | 2007-02-07 |
| 1447315361 | Michael Gerald Adelberg | Psychiatry & Neurology | 9856 Business Park Dr, Suite I, Sacramento, CA 95827-1704 | 2006-12-22 |
| 1669556965 | Edwin A Cruz | Psychiatry & Neurology | 3000 Q St Fl 4, Sacramento, CA 95816-7058 | 2006-10-24 |
| 1639190556 | Bryant Neal Sheehy | Psychiatry & Neurology | 3908 J Street, Suite 4, Sacramento, CA 95819 | 2006-07-23 |
| 1063450500 | Lynne Ann Love | Psychiatry & Neurology | 3727 Marconi Ave, Sacramento, CA 95821-5303 | 2006-06-04 |
| 1790741734 | Vasanthi Krishna | Psychiatry & Neurology | 87 Scripps Drive Suite 210, Sacramento, CA 95825-7977 | 2006-04-26 |
| 1649243528 | Rebecca S Jordan | Psychiatry & Neurology | 7600 Hospital Dr, Suite G, Sacramento, CA 95823-5406 | 2006-02-09 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95823 |
Please comment or provide details below to improve the information on NIDAL ALI KHALILI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.