Active NPI
Kiumars Saketkhoo, MD
- Critical Care Medicine (Internal Medicine) Physician
- Whittier, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- A32779
- Practice address
- 12462 E Putnam St
Ste 208
Whittier, CA 90602-1005 - Phone
- (562) 789-5470
- Fax
- (562) 789-4480
- NPI assigned
- Mar 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | A32779 | CA | Primary |
| Pulmonary Disease Physician | 207RP1001X | A32779 | CA |
Addresses
Primary practice location
12462 E Putnam St
Ste 208
Whittier, CA 90602-1005
Mailing address
PO Box 511225
Los Angeles, CA 90051-3023
Phone (562) 789-5470
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0084320 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 1970
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12462 Putnam St
Suite 208
Whittier, CA 90602-1049
Phone (562) 789-5470
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32779 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whittier Pulmonary and Critical Care Medical Group, Inc. | Pulmonary Disease | Current | Accepting new patients |
| Starling Oncology FL, LLC | Past | Accepting new patients | |
| Daniel Akvavan,MD Inc | Critical Care Medicine | Past | Accepting new patients |
| Pih Health Whittier Hospital | Past | Accepting new patients | |
| Kiumars Saketkhoo MD, Inc | Critical Care Medicine | Past | Accepting new patients |
| Intercommunity Family Medical Asoociates, Inc. | Past | Accepting new patients |
Locations
12401 Washington Blvd
Whittier, CA 90602
Phone (562) 698-0611
12462 Putnam St
Ste 208
Whittier, CA 90602
Phone (562) 789-5470
Interoperability endpoints
- kiumarssaketkhoo@pihh.allscriptsdirect.net
Organizations & group practices 6
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.
-
- Pulmonary Disease Physician
- Whittier, CA
- NPI 1255538773
-
- Critical Care Medicine (Internal Medicine) Physician
- Whittier, CA
- NPI 1689790750
-
- Critical Care Medicine (Internal Medicine) Physician
- Whittier, CA
- NPI 1326164237
-
- Family Medicine Physician
- Whittier, CA
- NPI 1831251610
-
- General Acute Care Hospital
- Whittier, CA
- NPI 1043215379
-
dba Starling Oncology
- Medical Oncology Physician
- St Petersburg, FL
- NPI 1730142373
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Whittier, CA
- NPI 1043215379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277164800000",
"number": "1093782518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 511225",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900513023",
"telephone_number": "562-789-5470",
"fax_number": "562-789-4480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12462 E PUTNAM ST",
"address_2": "STE 208",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906021005",
"telephone_number": "562-789-5470",
"fax_number": "562-789-4480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAKETKHOO",
"first_name": "KIUMARS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-02",
"last_updated": "2010-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "CA",
"license": "A32779",
"primary": true
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "A32779",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0084320",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Whittier, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.