LADAN KHATIBIJAH
NPI 1437692142
Student in an Organized Health Care Education/Training Program in Roseville, CA
About Ladan Khatibijah NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LADAN KHATIBIJAH (NPI 1437692142) is an individual student in an organized health care education/training program in Roseville, California and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ladan Khatibijah is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Ladan Khatibijah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stockton, CA 95210
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Ladan Khatibijah's NPI number?
The NPI number for Ladan Khatibijah is 1437692142. It was assigned to this individual provider in the NPPES registry on November 29, 2016.
Where is Ladan Khatibijah located?
Ladan Khatibijah practices at 1660 E Roseville Pkwy Bldg 100, Roseville, CA 95661. The listed phone number is (916) 973-5300.
What is Ladan Khatibijah's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Ladan Khatibijah enrolled in Medicare?
Yes. Ladan Khatibijah is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Ladan Khatibijah's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ladan Khatibijah reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The 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 Ladan Khatibijah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Ladan Khatibijah was last updated on February 11, 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.
# Ladan Khatibijah · NPI 1437692142
Student in an Organized Health Care Education/Training Program provider in Roseville, California. Individual provider, active in the CMS NPPES registry since November 29, 2016.
## Identity
- **NPI:** 1437692142 (Entity type: Individual)
- **Enumerated:** November 29, 2016
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1660 E ROSEVILLE PKWY BLDG 100, Roseville, CA 95661-3988
- **Phone:** (916) 973-5300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1548343510, Stockton, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 11, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1437692142) · Data from the CMS NPPES public registry.