NPIMap

Individual provider Active NPI

Surabhi Agarwal Khanna, M.D

  • Rheumatology Physician
  • San Diego, CA
National Provider Identifier
1124220157
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
C171517 Issued in CA
Practice address
4282 Genesee Ave Ste 202
San Diego, CA 92117-4989
Phone
(858) 284-0070
Fax
(858) 284-0071
NPI assigned
Jun 1, 2007
Last updated
Feb 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X C171517 CA Primary

Addresses

Primary practice location

4282 Genesee Ave Ste 202
San Diego, CA 92117-4989

Mailing address

4282 Genesee Ave Ste 202
San Diego, CA 92117-4989
Phone (858) 284-0070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220204002210 CA Practitioner - Rheumatology 6709916745 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
On Call Specialists Medical Group of San Diego IncGroup PAC ID 7911395231, 145 clinicians
American Arthritis and Rheumatology Associates-Ca PCGroup PAC ID 8123316155, 14 clinicians
Emergency and Acute Care Medical CorporationGroup PAC ID 9537108279, 431 clinicians

Practice addresses (Care Compare)

4077 5TH Ave
San Diego, CA 92103-2105
Phone (619) 359-6600

4282 Genesee Ave
Suite 302
San Diego, CA 92117-4985
Phone (858) 284-0070

7901 Frost St
San Diego, CA 92123-2701
Phone (858) 939-3400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C171517CAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency and Acute Care Medical Corporation CurrentSince May 6, 2023 Accepting new patients
American Arthritis & Rheumatology Associates-Ca PC Rheumatology CurrentSince Jul 22, 2023 Accepting new patients
On Call Specialists Medical Group of San Diego, Inc. CurrentSince Oct 25, 2023 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Sharp Chula Vista Medical Center Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Children's Hospital Medical Center Past Accepting new patients
Christ Hospital Past Accepting new patients

Locations

1245 Wilshire Blvd
Ste 775
Los Angeles, CA 90017
Phone (213) 484-5397

4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245

4282 Genesee Ave
Ste 202
San Diego, CA 92117
Phone (858) 277-5226

4282 Genesee Ave
Ste 302
San Diego, CA 92117
Phone (858) 284-0070

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

650 E Devon Ave
Ste 165
Itasca, IL 60143
Phone (630) 285-1040

Interoperability endpoints

  • Direct secure messaging: surabhi.khanna.p10@direct.aara1.nextgenshare.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1124220157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4282 GENESEE AVE STE 202",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921174989",
            "telephone_number": "858-284-0070",
            "fax_number": "858-284-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4282 GENESEE AVE STE 202",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921174989",
            "telephone_number": "858-284-0070",
            "fax_number": "858-284-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANNA",
        "first_name": "SURABHI",
        "middle_name": "AGARWAL",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "C171517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.