Varun Umakant Khetan, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Los Angeles, CA
NPI 1043716038 · NPPES record last updated Mar 27, 2023
Key facts
- NPI
- 1043716038
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- A164962 (CA)
- Practice address
- 1200 N State St
Los Angeles, CA 90089-1001 - Phone
- (323) 409-8848
- NPI assigned
- Mar 30, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.61 of 100
- Quality
- 58.7
- Improvement activities
- 40
- Cost
- 75.08
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220926002191 | CA | Practitioner - Obstetrics/Gynecology | 6709262934 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A164962 | CA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Los Angeles | Current |
Accepting new patients | |
| Pih Health Physicians | Current |
Accepting new patients | |
| Southern California Permanente Medical Group | Current |
Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Bright Health Physicians of Pih | Obstetrics & Gynecology | Current |
Accepting new patients |
| Obhg California, P.C. | Obstetrics & Gynecology | Current |
Accepting new patients |
| Pih Health Physicians | Current | Accepting new patients | |
| County of Los Angeles | Current |
Accepting new patients | |
| Bright Medical Associates, Inc. | Past | Accepting new patients |
Locations
1000 S Fremont Ave
Unit 9
Alhambra, CA 91803
501 S Buena Vista St
Burbank, CA 91505
Phone (818) 783-0800
10953 Ramona Blvd
El Monte, CA 91731
Phone (626) 434-2500
12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339
1200 N State St
Los Angeles, CA 90089
Phone (323) 226-2170
1245 Wilshire Blvd
Ste 690
Los Angeles, CA 90017
Phone (213) 977-4190
1225 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 482-2741
38600 Medical Center Dr
Palmdale, CA 93551
Phone (661) 382-5000
13652 Cantara St
Panorama City, CA 91402
Phone (818) 375-2417
393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914
100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445
12401 Washington Blvd
Whittier, CA 90602
Phone (562) 698-0611
Interoperability endpoints
- varunkhetan@pihh.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Obstetrics & Gynecology Physician | 207V00000X | A164962 | CA | Yes |
Addresses
Primary practice location
1200 N State St
Los Angeles, CA 90089-1001
Mailing address
1200 N State St
Los Angeles, CA 90089-1001
Phone (323) 409-8848
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
Other providers in Los Angeles, CA
- Robinder G Khemani
- Saro Khemichian
- Kheper Life Enrichment Institute
- Kenan Kherallah
- Umakant M Khetan
- Sumun Khetpal
- Miku Khezri
- Maneth Khieng
- Kristine Khieu
- Somma Khieu
All providers in Los Angeles, CA · Obstetrics & Gynecology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.