Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Nidal Khaja, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1013177633

Dr. Nidal Khaja, DPM is a Podiatry in Gardena, California. Graduated from California School of Podiatric Medicine in 2005, 21 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
21
Trained at
California School of Podiatric Medicine
Licensed in
CA
In the registry since
2008
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

1246 W 155th St
Gardena, CA 90247-4011
Phone: (310) 768-2256
Fax: (310) 323-0914
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence E4807 (CA)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence EL1636 (CA)

Record details

NPI number1013177633
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPM
Sole proprietorYes
NPI enumeratedJune 17, 2008
Last updated in NPPESOctober 21, 2021
Certification dateOctober 21, 2021
Mailing address955 Deep Valley Dr, 4055, Palos Verdes Peninsula, CA 90274-3876

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolCALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated 2005 (21 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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