IndividualActive
Mark Khakali, RN
NPI 1063284172 · Registered Nurse · Elk Grove, CA
Mark Khakali, RN is a Registered Nurse provider in Elk Grove, CA (NPI 1063284172).
Provider details
- NPI number
- 1063284172
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- Yes
- License
- 846609 (CA)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9449 Clementine Way
Elk Grove, CA 95758-3912
Phone: (781) 941-4008
Street-level locationGet directions
Mailing address
9449 Clementine Way
Elk Grove, CA 95758-3912
Registry dates
- Enumerated
- 2023-10-23
- Last updated
- 2023-10-26
- Certified
- 2023-10-26
Frequently asked questions
- What is Mark Khakali's NPI number?
- Mark Khakali's National Provider Identifier (NPI) is 1063284172, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Khakali's specialty?
- Mark Khakali is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).
- Where is Mark Khakali located?
- Mark Khakali's practice location on file with NPPES is 9449 Clementine Way, Elk Grove, CA 95758-3912.
- What is Mark Khakali's phone number?
- The practice phone number listed in the NPPES registry for Mark Khakali is (781) 941-4008.
- Is Mark Khakali's NPI active?
- Yes — Mark Khakali's NPI (1063284172) is active in the NPPES registry as of the last update on 2023-10-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.