Surabhi Agarwal Khanna, M.D
Individual provider Active NPI Rheumatology Physician · San Diego, CA
NPI 1124220157 · NPPES record last updated Feb 24, 2025
Key facts
- NPI
- 1124220157
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rheumatology Physician 207RR0500X
- License
- C171517 (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
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 8
Hospital & facility affiliations 6
Medicare Care Compare profile
- 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 Inc
American Arthritis and Rheumatology Associates-Ca PC
Emergency and Acute Care Medical Corporation
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
- Sharp Coronado Hospital and Hlthcr Ctr
- Sharp Memorial Hospital
- Scripps Mercy Hospital
- Grossmont Hospital
- Sharp Chula Vista Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220204002210 | CA | Practitioner - Rheumatology | 6709916745 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C171517 | CA | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency and Acute Care Medical Corporation | Current |
Accepting new patients | |
| On Call Specialists Medical Group of San Diego, Inc. | Current |
Accepting new patients | |
| American Arthritis & Rheumatology Associates-Ca PC | Rheumatology | Current |
Accepting new patients |
| Christ Hospital | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Children'S Hospital Medical Center | Past | Accepting new patients | |
| Sharp Chula Vista Medical Center | 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 302
San Diego, CA 92117
Phone (858) 284-0070
4282 Genesee Ave
Ste 202
San Diego, CA 92117
Phone (858) 277-5226
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
- surabhi.khanna.p10@direct.aara1.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | C171517 | CA | Yes |
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
Other providers in San Diego, CA
- Arjun Ramesh Khanna
- Gaurav Khanna
- Paritosh C Khanna
- Poornima Khanna
- Sandeep K. Khanna
- Leila Khansari
- Deborah Kharazi
- Manaswitha Khare
- Ava Rana Kharrazian
- Tara Kharrazian
All providers in San Diego, CA · Rheumatology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.