HEALTH AVE CLINIC INC
NPI 1003535097
Internal Medicine in El Cajon, CA

Q: What is Health Ave Clinic Inc's NPI number?

The NPI number for Health Ave Clinic Inc is 1003535097. It was assigned to this organization in the NPPES registry on August 24, 2022.

Q: What is Health Ave Clinic Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since August 24, 2022CLIA 05D2283555 · Waiver

250 E CHASE AVE STE 109, EL CAJON, CA 92020(619) 499-5006 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Health Ave Clinic Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEALTH AVE CLINIC INC (NPI 1003535097) is a healthcare organization registered as an internal medicine in El Cajon, California and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through June 7, 2027 and lists Omar Khayyat, Owner, as its authorized official.

NPPES Registry Identity

NPI1003535097

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameHEALTH AVE CLINIC INC

Location Address250 E CHASE AVE STE 109El Cajon, CA 92020-6305

Mailing Address250 E Chase Ave Ste 109El Cajon, CA 92020-6305 · (619) 499-5006

Phone(619) 499-5006

Organization SubpartNo

Authorized OfficialOmar KhayyatOwner · (619) 499-5006

Enumeration DateAugust 24, 2022

NPPES CertifiedAugust 24, 2022

✔ NPI 1003535097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

250 E CHASE AVE STE 109, El Cajon, CA 92020

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Health Ave Clinic Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Health Ave Clinic Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Mohammed Alshammary, MD

Internal Medicine

NPI 1194217539

250 E CHASE AVE STE 109
El Cajon, CA 92020

(619) 499-5006

✔ PECOS✔ Accepts MedicareSame address

Omar Khayyat, MD

Internal Medicine

NPI 1649711862

435 H ST
Chula Vista, CA 91910

(619) 691-7000

✔ PECOS✔ Accepts Medicare11 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2283555

Health Ave Clinic Inc · El Cajon, CA

Active · expires Jun 7, 2027

CLIA Number05D2283555

Laboratory TypePhysician Office

Certificate Effective DateJune 8, 2025

Certificate Expiration DateJune 7, 2027

Laboratory DirectorOmar P. Khayyat

Laboratory Phone(408) 692-6626

Laboratory LocationHealth Ave Clinic Inc250 E Chase Ave Ste 109, El Cajon, CA 92020

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Health Ave Clinic Inc's NPI number?

The NPI number for Health Ave Clinic Inc is 1003535097. It was assigned to this organization in the NPPES registry on August 24, 2022.

Where is Health Ave Clinic Inc located?

Health Ave Clinic Inc is located at 250 E Chase Ave Ste 109, El Cajon, CA 92020. The listed phone number is (619) 499-5006.

What is Health Ave Clinic Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Health Ave Clinic Inc enrolled in Medicare?

Yes. Health Ave Clinic Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Health Ave Clinic Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Internal Medicine, reassign their Medicare billing to Health Ave Clinic Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Health Ave Clinic Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2283555) is associated with this NPI, valid through June 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Health Ave Clinic Inc was last updated on August 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.