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

Dr. Waseem Majed Khader, DO

Individual provider Family Medicine Physician · NPI 1124476270

Dr. Waseem Majed Khader, DO is an Addiction Medicine in San Diego, California. Graduated from West Virginia School of Osteopathic Medicine in 2016, 10 years ago. Practices with Revive Pathway, a 12-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
10
Trained at
West Virginia School of Osteopathic Medicine
Licensed in
CA
In the registry since
2016
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

7850 Vista Hill Ave
San Diego, CA 92123-2717
Phone: (858) 367-0421
Fax: (858) 365-5910
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1240 Broadway, El Cajon, CA 92021-4994 — (619) 841-1310

Specialties & licences

Addiction Medicine (Preventive Medicine) Physician (primary) Taxonomy 2083A0300X · Licence 20A16567 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 20A16567 (CA)
Addiction Medicine (Family Medicine) Physician Taxonomy 207QA0401X · Licence 20A16567 (CA)

Record details

NPI number1124476270
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMay 31, 2016
Last updated in NPPESJanuary 16, 2026
Certification dateJanuary 16, 2026

Medicare enrollment

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

Medicare specialtyADDICTION MEDICINE
Medical schoolWEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduated 2016 (10 years in practice)
Group practice Revive Pathway — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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