NIDAL A KHALILI MD,INC (NPI# 1639724057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639724057 |
| Entity Type | Organization |
| Organization Name | NIDAL A KHALILI MD,INC |
| Other Organization Name | NIDAL A KHALILI MD, INC |
| 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 | 2019-08-02 |
| Last Update Date | 2019-09-30 |
| Authorized Official Name | DR. NIDAL ALI KHALILI (OWNER) |
| Authorized Official Telephone | 9166819401 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084B0040X |
Psychiatry & Neurology Specialization: Behavioral Neurology & Neuropsychiatry |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Nidal A Khalili MD, INC | Doing Business As Name - Organization |
| Nidal Khalili MD | Doing Business As Name - Organization |
| Nidal Khalili MD,INC | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1615 Creekside Dr Ste 100, Folsom, CA 956303491 | 9169849982 | 9169849983 |
| Street Address |
7551 TIMBERLAKE WAY STE 240 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95823-5422 |
| 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 | 2084B0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Behavioral Neurology & Neuropsychiatry |
| Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues. |
| Notes: Source: National Uniform Claim Committee. [1/1/2012: new] Additional Resources: American Academy of Neurology, www.aan.com. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871057687 | Justin Galvis | Psychiatry & Neurology | 3530 56th St, Sacramento, CA 95820-2341 | 2019-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821624156 | Maria Elena Smith | Psychiatry & Neurology | 1068 Roy Frerichs Ln, Tracy, CA 95377-6605 | 2020-03-18 |
| 1861904401 | Monte S Buschsbaum | Psychiatry & Neurology | 1455 Coral Dr, Laguna Beach, CA 92651-1910 | 2017-11-03 |
| 1154864874 | Center for Neurohealth Inc | Psychiatry & Neurology | 4180 La Jolla Village Dr Ste 240, La Jolla, CA 92037 | 2016-11-29 |
| 1922481019 | Robert Rafal | Psychiatry & Neurology | 3 Captain Dr, Apt D404, Emeryville, CA 94608-1740 | 2015-07-07 |
| 1386993897 | Ernest William Klatte | Psychiatry & Neurology | 317 Ramona Place, Costa Mesa, CA 92627 | 2012-08-30 |
| 1265788426 | Sam A Castro, M.d., Inc. | Psychiatry & Neurology | 333 W Shaw Ave, #7, Fresno, CA 93704-2657 | 2012-07-25 |
| 1871858084 | Joseph H. Rodd M.d. Inc | Psychiatry & Neurology | 20710 S. Leapwood Ave., Suite B, Carson, CA 90746 | 2012-07-13 |
| 1821283318 | Laurence Stuart Rivkin | Psychiatry & Neurology | 6265 Cypress Point Rd, San Diego, CA 92120-3814 | 2007-09-08 |
| 1235163320 | Paul H. Ackerman | Psychiatry & Neurology | 12520 Shady Dr, Ste 621, Los Angeles, CA 90049-3814 | 2006-07-11 |
| 1669016028 | Aloha Integrative Health | Psychiatry & Neurology | 4520 Executive Dr Ste 227, San Diego, CA 92121-3020 | 2019-10-29 |
| Find all providers with the same taxonomy | ||||
| City | SACRAMENTO |
| Zip Code | 95823 |
Please comment or provide details below to improve the information on NIDAL A KHALILI MD,INC.
| 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.