Individual provider Active NPI

Faisal Khan, M.D.

  • Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1043233885
Registry record updated Dec 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G45343 Issued in CA
Practice address
1701 Cesar E Chavez Ave
Ste 300
Los Angeles, CA 90033-2464
Phone
(818) 504-7265
Fax
(818) 504-1623
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X G45343 CA Primary

Addresses

Primary practice location

1701 Cesar E Chavez Ave
Ste 300
Los Angeles, CA 90033-2464

Mailing address

1701 Cesar E Chavez Ave
Ste 300
Los Angeles, CA 90033-2464
Phone (818) 504-7265

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110120000587 CA Practitioner - General SurgeryPractitioner - Pediatric Medicine 3779521190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Pediatric Medicine
Education
University of Southern California Keck School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Surgical Multispecialties Medical GroupGroup PAC ID 9234166109, 5 clinicians

Practice addresses (Care Compare)

1701 Cesar Chavez Ave
Suite 300
Los Angeles, CA 90033-2496
Phone (323) 264-2633

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
59.93 of 100Reported as group
Quality
66.96
Improvement activities
0
Cost
77.15

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)11
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
45343CAMDPharmacist
G45343CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
White Memorial Medical Center Past Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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 3

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291766400000",
    "number": "1043233885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 CESAR E CHAVEZ AVE",
            "address_2": "STE 300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332464",
            "telephone_number": "818-504-7265",
            "fax_number": "818-504-1623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 CESAR E CHAVEZ AVE",
            "address_2": "STE 300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332464",
            "telephone_number": "818-504-7265",
            "fax_number": "818-504-1623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "FAISAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2010-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G45343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.