Organization Active NPI

Zafar S Khan M.D. a Medical Corporation

  • Surgery Physician
  • Fountain Valley, CA
National Provider Identifier
1013132901
Registry record updated Oct 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A85906 Issued in CA
Legal business name
ZAFAR S KHAN M.D. A MEDICAL CORPORATION
Practice address
11160 Warner Ave
Suite 311
Fountain Valley, CA 92708-4008
Phone
(714) 850-7300
Fax
(714) 850-7310
NPI assigned
Apr 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Zafar Saleem Khan, M.D.
Title
President
Phone
(714) 850-7300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X A85906 CA Primary

Addresses

Primary practice location

11160 Warner Ave
Suite 311
Fountain Valley, CA 92708-4008

Mailing address

11160 Warner Ave
Suite 311
Fountain Valley, CA 92708-4008
Phone (714) 850-7300

Other identifiers 1

IdentifierTypeStateIssuer
A85906OtherCAMEDICAL LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224720000000",
    "number": "1013132901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11160 WARNER AVE",
            "address_2": "SUITE 311",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084008",
            "telephone_number": "714-850-7300",
            "fax_number": "714-850-7310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11160 WARNER AVE",
            "address_2": "SUITE 311",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084008",
            "telephone_number": "714-850-7300",
            "fax_number": "714-850-7310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZAFAR S KHAN M.D. A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2008-10-23",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "ZAFAR",
        "authorized_official_middle_name": "SALEEM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-850-7300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A85906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A85906",
            "state": "CA"
        }
    ],
    "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 Oct 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.