DR. NIDAL KHAJA D.P.M. NPI 1013177633

NPI Information

  • NPI: 1013177633
  • Provider Name: DR. NIDAL KHAJA, D.P.M.
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1246 W 155TH ST
    GARDENA, CA
    ZIP 90247
  • Phone: (310) 768-2256

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NPI Details

DR. Nidal Khaja, D.P.M. is a foot and ankle surgery podiatrist in Gardena, CA with 21 years of experience. DR. Nidal Khaja, D.P.M. NPI is 1013177633. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduation Year:2005

The provider's business location address is:

1246 W 155TH ST
GARDENA, CA
ZIP 90247-011
Phone: (310) 768-2256
Fax: (310) 323-0914

The NPI 1013177633 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 6/17/2008 and was last updated on 10/21/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle SurgeryEL1636CALIFORNIANo
2213ES0103XPodiatristFoot & Ankle SurgeryE4807CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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