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WALA IZZAT ALKHATAYBEH
NPI 1821945114
Nurse Practitioner - Psychiatric/Mental Health in Rancho Cucamonga, CA

Active since March 14, 2026PECOS EnrolledAccepts Medicare Assignment
7832 DANNER CT, RANCHO CUCAMONGA, CA 91730(909) 701-5111 Get Directions Write a Review

NPPES record last updated: March 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wala Izzat Alkhataybeh NPPES

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

WALA IZZAT ALKHATAYBEH (NPI 1821945114) is an individual psychiatric/mental health provider in Rancho Cucamonga, California, licensed in California (95038934) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1821945114
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameWALA IZZAT ALKHATAYBEH
Location Address7832 DANNER CTRancho Cucamonga, CA 91730-6866
Mailing Address7832 Danner CtRancho Cucamonga, CA 91730-6866 · (909) 701-5111
Phone(909) 701-5111
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 14, 2026
NPPES CertifiedMarch 14, 2026
✔ NPI 1821945114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95038934
7832 DANNER CT, Rancho Cucamonga, CA 91730
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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

Wala Izzat Alkhataybeh 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 ID840760609
PECOS Enrollment IDI20260521004677
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91730 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

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 Wala Alkhataybeh's NPI number?

The NPI number for Wala Alkhataybeh is 1821945114. It was assigned to this individual provider in the NPPES registry on March 14, 2026.

Where is Wala Alkhataybeh located?

Wala Alkhataybeh practices at 7832 Danner Ct, Rancho Cucamonga, CA 91730. The listed phone number is (909) 701-5111.

What is Wala Alkhataybeh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Wala Alkhataybeh enrolled in Medicare?

Yes. Wala Alkhataybeh 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 Wala Alkhataybeh was last updated on March 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.