Active NPI
BS Khehar MD Inc
- Internal Medicine Physician
- San Diego, CA
National Provider Identifier
1033205463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A61891
- Legal business name
- BS KHEHAR MD INC
- Practice address
- 4060 Fourth Ave
Suite 335
San Diego, CA 92103-2116 - Phone
- (619) 291-9285
- Fax
- (619) 291-9289
- NPI assigned
- Oct 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bhuphinder S. Khehar, M.D.
- Title
- President
- Phone
- (619) 291-9285
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A61891 | CA | Primary |
Addresses
Primary practice location
4060 Fourth Ave
Suite 335
San Diego, CA 92103-2116
Mailing address
4060 Fourth Ave
Suite 335
San Diego, CA 92103-2116
Phone (619) 291-9285
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W19010 | Other | CA | INTERNAL MEDICINE |
| 00A618910 | Medicaid | CA | |
| 00A618910 | Other | CA | BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
4094 4th Ave
Ste 103
San Diego, CA 92103
Phone (619) 291-9285
4060 4th Ave
Ste 335
San Diego, CA 92103
Phone (619) 291-9285
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- San Diego, CA
- NPI 1588691455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1437523200000",
"number": "1033205463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4060 FOURTH AVE",
"address_2": "SUITE 335",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032116",
"telephone_number": "619-291-9285",
"fax_number": "619-291-9289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4060 FOURTH AVE",
"address_2": "SUITE 335",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032116",
"telephone_number": "619-291-9285",
"fax_number": "619-291-9289"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BS KHEHAR MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-05",
"last_updated": "2015-07-22",
"status": "A",
"authorized_official_last_name": "KHEHAR",
"authorized_official_first_name": "BHUPHINDER",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "619-291-9285",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "A61891",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTERNAL MEDICINE",
"identifier": "W19010",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A618910",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00A618910",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.