Active NPI
Ashraf Ali Khan, MD
- Internal Medicine Physician
- Los Angeles, CA
National Provider Identifier
1134119894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A64107
- Practice address
- 1245 Wilshire Blvd Ste 316
Los Angeles, CA 90017-4803 - Phone
- (213) 250-5005
- Fax
- (213) 250-5004
- NPI assigned
- Oct 25, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A64107 | CA | Primary |
Addresses
Primary practice location
1245 Wilshire Blvd Ste 316
Los Angeles, CA 90017-4803
Mailing address
3371 Glendale Blvd # 189
Los Angeles, CA 90039-1825
Phone (323) 661-8817
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A64107 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Francine Hanberg, M.D. | Past | Accepting new patients |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299628800000",
"number": "1134119894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3371 GLENDALE BLVD # 189",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900391825",
"telephone_number": "323-661-8817",
"fax_number": "323-661-8817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1245 WILSHIRE BLVD STE 316",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900174803",
"telephone_number": "213-250-5005",
"fax_number": "213-250-5004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "ASHRAF",
"middle_name": "ALI",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-25",
"last_updated": "2011-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A64107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.