Active NPI
Junaid Khan
- Public Medicine Podiatrist
- Oakland, CA
National Provider Identifier
1104568252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Medicine Podiatrist
- License
- 1417962101
- Practice address
- 3100 Telegraph Ave
Oakland, CA 94609-3239 - Phone
- (800) 607-6377
- NPI assigned
- Apr 10, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Medicine Podiatrist | 213EP0504X | 1417962101 | CA | Primary |
Addresses
Primary practice location
3100 Telegraph Ave
Oakland, CA 94609-3239
Mailing address
5669 Mericrest Way
Marysville, CA 95901-8386
Phone (607) 651-0025
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1417962101 | CA | MD | Public Medicine Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649548800000",
"number": "1104568252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5669 MERICREST WAY",
"city": "MARYSVILLE",
"state": "CA",
"postal_code": "959018386",
"telephone_number": "607-651-0025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 TELEGRAPH AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946093239",
"telephone_number": "800-607-6377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "JUNAID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-10",
"last_updated": "2022-04-10",
"certification_date": "2022-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "213EP0504X",
"taxonomy_group": "",
"desc": "Podiatrist, Public Medicine",
"state": "CA",
"license": "1417962101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.