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

Leenah Hisham A Khayat

Individual provider Nurse Practitioner · NPI 1023743986

Leenah Hisham A Khayat is a Nurse Practitioner in Orange, California. Qualified in 2019, 7 years ago. Practices with Senior Doc Integrated Med PC, a 17-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2022
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Practice location Address checks out

2592 N Santiago Blvd
Orange, CA 92867-1862
Phone: (855) 434-7763
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95012801 (CA)

Record details

NPI number1023743986
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 22, 2022
Last updated in NPPESJuly 22, 2022
Certification dateJuly 22, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Senior Doc Integrated Med Pc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Orange