Individual provider Active NPI

Noor-Ul-Ain Fatima Khan, DNAP, CRNA

  • Certified Registered Nurse Anesthetist
  • Lynwood, CA
National Provider Identifier
1013627587
Registry record updated May 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
95001899 Issued in CA
Practice address
3630 E Imperial Hwy
Lynwood, CA 90262-2609
Phone
(310) 900-8900
NPI assigned
Nov 25, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 95001899 CA Primary

Addresses

Primary practice location

3630 E Imperial Hwy
Lynwood, CA 90262-2609

Mailing address

3630 E Imperial Hwy
Lynwood, CA 90262-2609
Phone (281) 701-4361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230112002538 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0648640433 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Landmark Anesthesia Medical GroupGroup PAC ID 5698055804, 19 clinicians

Practice addresses (Care Compare)

11841 S St
Cerritos, CA 90703-6825
Phone (562) 809-8082

3630 E Imperial Hwy
Lynwood, CA 90262-2609
Phone (714) 503-0195

555 E Hardy St
Inglewood, CA 90301-4011
Phone (714) 503-0195

Hospital & facility affiliations

  • Saint Francis Medical Center Hospital, Lynwood, CA, CCN 050104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95001899CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Liberty Anesthesia Consultants LLC CurrentSince Nov 1, 2022 Accepting new patients
Landmark Anesthesia Medical Group CurrentSince Jan 2, 2023 Accepting new patients
Coastal Anesthesia Medical Consultants Inc Nurse Anesthetist, Certified Registered CurrentSince Nov 15, 2023 Accepting new patients
NFK Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Feb 24, 2024 Accepting new patients
Credence Anesthesia Corporation Nurse Anesthetist, Certified Registered CurrentSince May 1, 2023 Accepting new patients
West Coast Surgery Inc Past Accepting new patients

Locations

1000 S Anaheim Blvd
Ste 300
Anaheim, CA 92805
Phone (714) 221-2196

11841 South St
Cerritos, CA 90703
Phone (562) 809-8082

11845 South St
Cerritos, CA 90703
Phone (562) 809-2103

18575 Gale Ave
Ste 198
City of Industry, CA 91748
Phone (626) 656-1285

12017 Paramount Blvd
Downey, CA 90242
Phone (562) 381-2494

2271 W Malvern Ave
Fullerton, CA 92833
Phone (562) 773-4243

555 E Hardy St
Inglewood, CA 90301
Phone (310) 419-8636

5 Holland
Ste 101
Irvine, CA 92618
Phone (949) 588-2199

29300 Portola Pkwy
Ste A
Lake Forest, CA 92630
Phone (949) 305-3913

1400 S Grand Ave
Ste 700
Los Angeles, CA 90015
Phone (213) 765-7500

3630 E Imperial Hwy
Lynwood, CA 90262
Phone (310) 900-7420

2000 Outlet Center Dr
Oxnard, CA 93036
Phone (805) 643-3332

36915 Cook St
Ste 103B
Palm Desert, CA 92211
Phone (760) 340-1003

815 Auto Center Dr
Palmdale, CA 93551
Phone (661) 206-6262

1001 N Tustin Ave
Santa Ana, CA 92705
Phone (714) 835-3555

14120 Alondra Blvd
Ste C
Santa Fe Springs, CA 90670

41900 Winchester Rd
Ste 102
Temecula, CA 92590
Phone (951) 461-6502

3805 Telegraph Rd
Ventura, CA 93003
Phone (805) 644-9001

16850 Bear Valley Rd
Victorville, CA 92395
Phone (760) 241-8222

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1669334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684627200000",
    "number": "1013627587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 E IMPERIAL HWY",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902622609",
            "telephone_number": "281-701-4361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 E IMPERIAL HWY",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902622609",
            "telephone_number": "310-900-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "NOOR-UL-AIN",
        "middle_name": "FATIMA",
        "name_prefix": "Dr.",
        "credential": "DNAP, CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-25",
        "last_updated": "2023-05-21",
        "certification_date": "2023-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95001899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynwood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.