Active NPI
Jawad Khan, M.D.
- Orthopaedic Hand Surgery Physician
- Fountain Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- License
- A154905
- Practice address
- 11190 Warner Ave Ste 300
Fountain Valley, CA 92708-4045 - Phone
- (714) 241-7000
- Fax
- (714) 241-7003
- NPI assigned
- Mar 22, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | A154905 | CA | |
| Orthopaedic Hand Surgery Physician | 207XS0106X | A154905 | CA | Primary |
Addresses
Primary practice location
11190 Warner Ave Ste 300
Fountain Valley, CA 92708-4045
Mailing address
11190 Warner Ave Ste 300
Fountain Valley, CA 92708-4045
Phone (714) 241-7000
Other practice location 1
710 N Euclid St Ste 201
Anaheim, CA 92801-4122
Phone (714) 241-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Wayne State University School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10861 Cherry St
Los Alamitos, CA 90720-5403
18111 Brookhurst St
Suite 6700
Fountain Valley, CA 92708-6728
Phone (949) 209-8415
22 Odyssey
Suite 205
Irvine, CA 92618-3197
Phone (949) 586-3200
8700 Warner Ave
Suite 140
Fountain Valley, CA 92708-3209
Phone (714) 850-7300
8740 Warner Ave
Fountain Valley, CA 92708-3205
Phone (714) 850-7300
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A154905 | CA | MD | Orthopaedic Hand Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prohealth Partners a Medical Group Inc | Current | Accepting new patients | |
| John P Kelly MD a Professional Medical Corporation | Orthopaedic Surgery | Current | Accepting new patients |
| Prohealth Partners, a Medical Group, Inc. | Current | Accepting new patients | |
| Orthowest | Orthopaedic Surgery | Current | Accepting new patients |
| Orthowest | Orthopaedic Surgery | Current | Accepting new patients |
| Anaheim Memorial Medical Center | Past | Accepting new patients | |
| Prohealth Partners a Medical Group Inc | Past | Accepting new patients | |
| Alta Newport Hospital, LLC | Past | Accepting new patients | |
| Orange Coast Memorial Medical Center | Past | Accepting new patients | |
| Orange County Global Medical Center, Inc | Past | Accepting new patients | |
| Daniel T Stein, M.D. a Medical Corporation | Past | Accepting new patients |
Locations
710 N Euclid St
Ste 201
Anaheim, CA 92801
Phone (714) 241-7000
1211 W La Palma Ave
Ste 102
Anaheim, CA 92801
Phone (714) 442-1141
8700 Warner Ave
Ste 140
Fountain Vly, CA 92708
Phone (714) 847-6727
11190 Warner Ave
Ste 300
Fountain Vly, CA 92708
Phone (714) 241-7000
18111 Brookhurst St
#6700
Fountain Vly, CA 92708
Phone (714) 861-4620
19066 Magnolia St
Huntington Beach, CA 92646
Phone (714) 378-2225
22 Odyssey
Ste 205
Irvine, CA 92618
Phone (949) 870-3332
24331 El Toro Rd
Ste 200
Laguna Woods, CA 92637
Phone (949) 767-0800
2445 W Chapman Ave
Ste 100
Orange, CA 92868
Phone (714) 850-7300
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GDIHDD/Endpoint/GDIHDD
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Durable Medical Equipment & Medical Supplies
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- NPI 1497356489
Orthopaedic Surgery
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- NPI 1912899394
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- General Acute Care Hospital
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- General Acute Care Hospital
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- General Acute Care Hospital
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- Internal Medicine Physician
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768953600000",
"number": "1003115619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11190 WARNER AVE STE 300",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927084045",
"telephone_number": "714-241-7000",
"fax_number": "714-241-7003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11190 WARNER AVE STE 300",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927084045",
"telephone_number": "714-241-7000",
"fax_number": "714-241-7003"
}
],
"practiceLocations": [
{
"address_1": "710 N Euclid St Ste 201",
"address_purpose": "LOCATION",
"city": "Anaheim",
"state": "CA",
"postal_code": "928014122",
"country_code": "US",
"telephone_number": "714-241-7000",
"fax_number": "714-241-7003",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHAN",
"first_name": "JAWAD",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-22",
"last_updated": "2026-01-21",
"certification_date": "2026-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "A154905",
"primary": false
},
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "CA",
"license": "A154905",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.