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

Khadija H Hamisi, NP

Individual provider Registered Nurse · NPI 1225360498

Khadija H Hamisi, NP is a Nurse Practitioner in Riverside, California. Qualified in 2006, 20 years ago. Practices with Shasta Regional Medical Group Inc, a 34-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
20
Licensed in
CA
In the registry since
2010
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

11801 Pierce St Ste 200
Riverside, CA 92505-4400
Phone: (909) 429-3244
Fax: (909) 981-0821
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 20560 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 698511 (CA)

Record details

NPI number1225360498
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedFebruary 12, 2010
Last updated in NPPESMay 22, 2023
Certification dateMay 22, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Shasta Regional Medical Group Inc — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Riverside