PROF. AMJAD AL-KHAWALDEH PHD, CNS, NP
NPI 1477091445
Nurse Practitioner in Laguna Hills, CA

Q: What is Amjad Al-khawaldeh's NPI number?

The NPI number for Amjad Al-khawaldeh is 1477091445. It was assigned to this individual provider in the NPPES registry on February 9, 2017.

Q: What is Amjad Al-khawaldeh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since February 09, 2017PECOS Enrolled

24953 PASEO DE VALENCIA STE 24A, LAGUNA HILLS, CA 92653(714) 875-3755 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 1, 2026, Jul 9, 2025, Oct 12, 2020 and 2 more (5 updates tracked since 2017).

On this page

About Prof. Amjad Al-khawaldeh Phd, Cns, Np NPPES

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

PROF. AMJAD AL-KHAWALDEH PHD, CNS, NP (NPI 1477091445) is an individual nurse practitioner in Laguna Hills, California, licensed in California (95006131) and active in the NPI registry since February 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477091445

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NamePROF. AMJAD AL-KHAWALDEHCredential: PHD, CNS, NP

Location Address24953 PASEO DE VALENCIA STE 24ALaguna Hills, CA 92653-4343

Mailing Address2012 Fallen Leaf PlTustin, CA 92780-6713 · (714) 875-3755

Phone(714) 875-3755

Sole ProprietorNo

Enumeration DateFebruary 9, 2017

Last NPPES UpdateJune 1, 20265 updates tracked since enumeration

NPPES CertifiedJune 1, 2026

✔ NPI 1477091445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · 95006131

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

24953 PASEO DE VALENCIA STE 24A, Laguna Hills, CA 92653

Open in Google Maps ↗

Other Identifiers 1

Other95006131CA · Np License And Furnishing Number

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prof. Amjad Al-khawaldeh Phd, Cns, Np 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.

Medicare Billing Reassignments

Medicare enrollment records show Amjad Al-khawaldeh reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Shifa Regenerative Center And Pain Management

Same address

Pain

24953 PASEO DE VALENCIA STE 24A
Laguna Hills, CA 92653

Reassigned Medicare billing, California enrollment

NPI 1518846385 (714) 875-3755

Uc Regents

17 mi

Allergy & Immunology

101 THE CITY DR S
Orange, CA 92868

Reassigned Medicare billing, California enrollment
525 clinicians in this Medicare group

NPI 1003864174 (714) 456-8068

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

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

352 services139 patients

Injection, ketorolac tromethamine, per 15 mg J1885

Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.

97 services13 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

46 services33 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

26 services12 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92653 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

SHIFA REGENERATIVE CENTER AND PAIN MANAGEMENT

Clinic/Center (Pain)

24953 PASEO DE VALENCIA STE 24A
LAGUNA HILLS, CA 92653

Orange County (714) 875-3755

BICH CHAU NGOC TRAN

Optometrist

24953 PASEO DE VALENCIA STE 24A
LAGUNA HILLS, CA 92653

Orange County (949) 716-5280

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 Amjad Al-khawaldeh's NPI number?

The NPI number for Amjad Al-khawaldeh is 1477091445. It was assigned to this individual provider in the NPPES registry on February 9, 2017.

Where is Amjad Al-khawaldeh located?

Amjad Al-khawaldeh practices at 24953 Paseo De Valencia Ste 24A, Laguna Hills, CA 92653. The listed phone number is (714) 875-3755.

What is Amjad Al-khawaldeh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Amjad Al-khawaldeh enrolled in Medicare?

Yes. Amjad Al-khawaldeh is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Amjad Al-khawaldeh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amjad Al-khawaldeh reassigns Medicare benefits to 2 organizations: Shifa Regenerative Center And Pain Management (Laguna Hills, CA) and Uc Regents (Orange, CA). Each 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 Amjad Al-khawaldeh'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 Amjad Al-khawaldeh was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.