Rizwan Sami Khan, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

54418 Issued in CA

Practice address

316 W Boone Ave
Suite 757
Spokane, WA 99201-2354

Phone

(509) 868-0876

Fax

(509) 385-0670

NPI assigned

May 25, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Russell Bruce Hubbard MD IncGroup PAC ID 7810056744, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: rkhan@landmarkhealth-direct.org
• Direct secure messaging: rizwan.khan@rbhmi-ca.direct.office.nextgen.com

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.

• Russell Bruce Hubbard MD Inc

  • Psychiatry Physician
  • San Diego, CA
  • NPI 1053430744
  Medicare reassignment Care Compare group
• East County Urgent Care Industrial & Medical Clinic Inc

  • Urgent Care Clinic/Center
  • El Cajon, CA
  • NPI 1417988668
  Medicare reassignment
• Team Physicians of Northern California Medical Group Inc

  • Emergency Medicine Physician
  • Pleasanton, CA
  • NPI 1649692716
  Medicare reassignment
• Providence Health & Services - Washington

  • General Acute Care Hospital
  • Spokane, WA
  • NPI 1083866453
  NPD (past)
• Inpatient Consultants of California, Inc

  • Internal Medicine Physician
  • Berkeley, CA
  • NPI 1346570801

  Physician Assistant

  NPD (past)
• Texas Urgent Care

  • Exclusive Provider Organization
  • Houston, TX
  • NPI 1477618882
  NPD (past)
• Texas Urgent Care-Southwest

  • Health Maintenance Organization
  • Houston, TX
  • NPI 1437202140
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508716800000",
    "number": "1104145481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 CAMINO DEL RIO S STE 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083819",
            "telephone_number": "619-299-1419",
            "fax_number": "858-461-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 W BOONE AVE",
            "address_2": "SUITE 757",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012354",
            "telephone_number": "509-868-0876",
            "fax_number": "509-385-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "RIZWAN",
        "middle_name": "SAMI",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-25",
        "last_updated": "2017-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA.PA.60139142",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "54418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria N Khala, RDH
• Salsabel Khalid
• Lara Khalil, MD
• Karla E Khan, M.D.
• Nasir Khan, M.D.
• Sorosh Kherghehpoush, PHARMD
• Angela Khessed, COUNSELOR
• Anja Nicole Khoma, MA
• Pitchaya Pearl Khongkhangam
• Jessica Khosravi, CRNA

• Physician Assistant in Spokane, WA
• Providers in Spokane, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2017; 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.

Verify at the official NPI Registry.