Organization Active NPI

BS Khehar MD Inc

  • Internal Medicine Physician
  • San Diego, CA
National Provider Identifier
1033205463
Registry record updated Jul 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A61891 Issued in CA
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

Updated by the provider on Jul 22, 2015

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
W19010OtherCAINTERNAL MEDICINE
00A618910MedicaidCA
00A618910OtherCABLUE SHIELD

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.