Active NPI
Ghazala Rahman Khan, DDS
- Endodontics
- Manteca, CA
National Provider Identifier
1093773632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 51483
- Practice address
- 295 Sun Haven PL
Suite 1
Manteca, CA 95337-4316 - Phone
- (925) 819-1996
- NPI assigned
- May 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 51483 | CA | Primary |
Addresses
Primary practice location
295 Sun Haven PL
Suite 1
Manteca, CA 95337-4316
Mailing address
411 Fuchsia LN
San Ramon, CA 94582-5710
Phone (925) 736-8659
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160909002314 | CA | Order and Referring Only - Other (Physician) | 6800853979 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51483 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Khan & Saoji Dental Inc | Endodontics | Current | Accepting new patients |
| UCSF Oral & Maxillofacial Surgery | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Oral & Maxillofacial Surgery (D.M.D.)
- San Francisco, CA
- NPI 1679652598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381968000000",
"number": "1093773632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 FUCHSIA LN",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945825710",
"telephone_number": "925-736-8659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "295 SUN HAVEN PL",
"address_2": "SUITE 1",
"city": "MANTECA",
"state": "CA",
"postal_code": "953374316",
"telephone_number": "925-819-1996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "GHAZALA",
"middle_name": "RAHMAN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-03",
"last_updated": "2013-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "51483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manteca, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.