DR. OMAR KHALIFE DPM
NPI 1194428995
Student in an Organized Health Care Education/Training Program in West Covina, CA

Active since March 22, 2023PECOS Enrolled
1136 PROMONTORY PL, WEST COVINA, CA 91791(626) 260-0183 Get Directions Write a Review

NPPES record last updated: March 22, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Omar Khalife Dpm NPPES

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

DR. OMAR KHALIFE DPM (NPI 1194428995) is an individual student in an organized health care education/training program in West Covina, California and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194428995
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. OMAR KHALIFECredential: DPM
Location Address1136 PROMONTORY PLWest Covina, CA 91791-3462
Mailing Address1136 Promontory PlWest Covina, CA 91791-3462 · (626) 260-0183
Sole ProprietorNo
Enumeration DateMarch 22, 2023
NPPES CertifiedMarch 22, 2023
NPI 1194428995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1136 PROMONTORY PL, West Covina, CA 91791

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Omar Khalife Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Omar Khalife's NPI number?

The NPI number for Omar Khalife is 1194428995. It was assigned to this individual provider in the NPPES registry on March 22, 2023.

Where is Omar Khalife located?

Omar Khalife practices at 1136 Promontory Pl, West Covina, CA 91791. The listed phone number is (626) 260-0183.

What is Omar Khalife's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Omar Khalife enrolled in Medicare?

Yes. Omar Khalife is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Omar Khalife was last updated on March 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.