Active NPI
Asma Khan, MPH, RD
- Registered Dietitian
- Riverside, CA
National Provider Identifier
1134830771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86038440
- Practice address
- 9414 Rose Garden PL
Riverside, CA 92508-8012 - Phone
- (818) 913-1883
- NPI assigned
- Dec 5, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86038440 | CA | Primary |
Addresses
Primary practice location
9414 Rose Garden PL
Riverside, CA 92508-8012
Mailing address
9414 Rose Garden PL
Riverside, CA 92508-8012
Phone (818) 913-1883
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231218001651 | CA | Practitioner - Registered Dietitian Or Nutrition Professional | 4587013438 | Practice locations: Riverside, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86038440 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Khanutrition, LLC | Current | Accepting new patients | |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Health Service Clinic/Center
- Riverside, CA
- NPI 1407629132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698624000000",
"number": "1134830771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9414 ROSE GARDEN PL",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925088012",
"telephone_number": "818-913-1883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9414 ROSE GARDEN PL",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925088012",
"telephone_number": "818-913-1883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "ASMA",
"credential": "MPH, RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-05",
"last_updated": "2023-10-30",
"certification_date": "2023-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86038440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.