Individual provider Active NPI

Uzma Anwer Rehman Khan, M.D

  • Psychiatry Physician
  • Pittsburg, CA
National Provider Identifier
1053517490
Registry record updated Oct 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A100026 Issued in CA
Practice address
2311 Loveridge Rd
2ND Floor
Pittsburg, CA 94565-5117
Phone
(925) 431-2600
Fax
(925) 431-2644
NPI assigned
Jun 22, 2007
Last updated
Oct 30, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A100026 CA Primary

Addresses

Primary practice location

2311 Loveridge Rd
2ND Floor
Pittsburg, CA 94565-5117

Mailing address

2311 Loveridge Rd
2ND Floor
Pittsburg, CA 94565-5117
Phone (925) 431-2600

Other names 1

  • Uzma Anwer Former name

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
I20110520000640 CA Practitioner - Psychiatry 7113103482 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Contra Costa CountyGroup PAC ID 8628052974, 74 clinicians

Practice addresses (Care Compare)

2311 Loveridge Rd
FL 2
Pittsburg, CA 94565-5117
Phone (925) 431-2600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A100026CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Coast Children's Society, Inc CurrentSince Apr 5, 2016 Accepting new patients
South Coast Children's Society, Inc CurrentSince Apr 5, 2016 Accepting new patients
Contra Costa County CurrentSince Nov 21, 2015 Accepting new patients
Contra Costa County CurrentSince Nov 21, 2015 Accepting new patients
South Coast Children's Society, Inc Past Accepting new patients

Locations

25910 Acero
Ste 160
Mission Viejo, CA 92691
Phone (877) 522-7187

2311 Loveridge Rd
Fl 2
Pittsburg, CA 94565
Phone (925) 431-2600

1030 Nevada St
Ste 200
Redlands, CA 92374
Phone (510) 295-7864

2523 El Portal Dr
Ste 206
San Pablo, CA 94806
Phone (510) 215-3730

34324 Yucaipa Blvd
Yucaipa, CA 92399
Phone (909) 790-1300

34324 Yucaipa Blvd
Ste B
Yucaipa, CA 92399
Phone (909) 790-0210

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351555200000",
    "number": "1053517490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 LOVERIDGE RD",
            "address_2": "2ND FLOOR",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945655117",
            "telephone_number": "925-431-2600",
            "fax_number": "925-431-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 LOVERIDGE RD",
            "address_2": "2ND FLOOR",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945655117",
            "telephone_number": "925-431-2600",
            "fax_number": "925-431-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "UZMA",
        "middle_name": "ANWER REHMAN",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-22",
        "last_updated": "2012-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A100026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "UZMA",
            "last_name": "ANWER",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pittsburg, CA

Sources for this page

Verify at the official NPI Registry.