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

Khaled Al Tawil

Individual provider Diagnostic Radiology Physician · NPI 1407319684

Khaled Al Tawil is a Diagnostic Radiology in San Diego, California. Graduated from University of Vermont College of Medicine in 2019, 7 years ago. Practices with San Diego Imaging-Chula Vista LLC, a 42-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Trained at
University of Vermont College of Medicine
Licensed in
CA
In the registry since
2019
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Practice location Address checks out

8745 Aero Dr Ste 200
San Diego, CA 92123-1774
Phone: (858) 565-0950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 300 Pasteur Dr, Stanford, CA 94305-2200 — (650) 725-2181

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence A201335 (CA)

Record details

NPI number1407319684
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 13, 2019
Last updated in NPPESJuly 9, 2025
Certification dateJuly 9, 2025
Mailing addressPo Box 60604, City Of Industry, CA 91716-0604

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice San Diego Imaging-Chula Vista Llc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in San Diego