1. Home
  2. Directory
  3. California
  4. Gardena
  5. Podiatrist
  6. NPI Profile

DR. NIDAL KHAJA D.P.M.
NPI 1013177633
Podiatrist - Foot & Ankle Surgery in Gardena, CA

Active since June 17, 2008PECOS EnrolledAccepts Medicare Assignment
1246 W 155TH ST, GARDENA, CA 90247(310) 768-2256(310) 323-0914 Get Directions Write a Review

NPPES record last updated: October 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Nidal Khaja D.p.m. NPPES

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

DR. NIDAL KHAJA D.P.M. (NPI 1013177633) is an individual foot & ankle surgery provider in Gardena, California, licensed in California (E4807) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and is a graduate of California School Of Podiatric Medicine (2005).

NPPES Registry Identity

NPI1013177633
Entity TypeIndividualFemale
Primary Taxonomy213ES0103X
Provider Legal NameDR. NIDAL KHAJACredential: D.P.M.
Location Address1246 W 155TH STGardena, CA 90247-4011
Mailing Address955 Deep Valley Dr, # 4055Palos Verdes Peninsula, CA 90274-3876 · (310) 538-1110 · Fax (310) 538-0929
Phone(310) 768-2256
Fax(310) 323-0914
Sole ProprietorYes
Medical School CMSCalifornia School Of Podiatric MedicineGraduated 2005
Enumeration DateJune 17, 2008
Last NPPES UpdateOctober 21, 2021
NPPES CertifiedOctober 21, 2021
✔ NPI 1013177633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
Licenses✔ Licensed in CA · E4807✔ Licensed in CA · EL1636
1246 W 155TH ST, Gardena, CA 90247
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Nidal Khaja D.p.m. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577737121
PECOS Enrollment IDI20111117000474
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NARAYAN R. ROA, M.D. INC
Anesthesiology
1246 W 155TH ST
GARDENA, CA 90247
Los Angeles County (310) 792-0601
MR. ROBERT O NUTTING MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1246 W 155TH ST
GARDENA, CA 90247
Los Angeles County (310) 768-2255
KAREN N TERADA OTR
Occupational Therapist
1246 W 155TH ST
GARDENA, CA 90247
Los Angeles County (310) 323-5330
ULYSSES YEE
Pharmacist
1246 W 155TH ST
GARDENA, CA 90247
Los Angeles County (818) 462-1396
STEPHEN LYO-SUNG KIM M.D.
Anesthesiology
1246 W 155TH ST
GARDENA, CA 90247
Los Angeles County (310) 323-5330
GARDENA PHYSICIANS HOSPITAL, INC.
General Acute Care Hospital
1246 W 155TH ST
GARDENA, CA 90247
Los Angeles County (310) 768-2235
VISTA HOSPITAL OF SOUTH BAY, LP
Long Term Care Hospital
1246 W 155TH ST
GARDENA, CA 90247
Los Angeles County (310) 323-5330
KND DEVELOPMENT 59 LLC
Hospitalist
1246 W 155TH ST
GARDENA, CA 90247
Los Angeles County (310) 323-5330

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 Nidal Khaja's NPI number?

The NPI number for Nidal Khaja is 1013177633. It was assigned to this individual provider in the NPPES registry on June 17, 2008.

Where is Nidal Khaja located?

Nidal Khaja practices at 1246 W 155th St, Gardena, CA 90247. The listed phone number is (310) 768-2256.

What is Nidal Khaja's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Nidal Khaja enrolled in Medicare?

Yes. Nidal Khaja is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Nidal Khaja was last updated on October 21, 2021. 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.