Active NPI
Kiren Khan, FNP
- Family Nurse Practitioner
- Sacramento, CA
National Provider Identifier
1114195534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 22565
- Practice address
- 7248 S Land Park Dr
Sacramento, CA 95831-3660 - Phone
- (916) 392-4000
- Fax
- (916) 392-4000
- NPI assigned
- Feb 19, 2008
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 22565 | CA | Primary |
Addresses
Primary practice location
7248 S Land Park Dr
Sacramento, CA 95831-3660
Mailing address
1010 Gough St
San Francisco, CA 94109-7622
Phone (415) 474-7310
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381968000000",
"number": "1114195534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 GOUGH ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941097622",
"telephone_number": "415-474-7310",
"fax_number": "415-931-3773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7248 S LAND PARK DR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958313660",
"telephone_number": "916-392-4000",
"fax_number": "916-392-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "KIREN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-19",
"last_updated": "2013-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "22565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.