NPIMap

Organization Active NPI

Aliuddin Khaja, MD., Inc

Doing business as Stanford Psychiatry Medical Group

  • Geriatric Psychiatry Physician
  • Hemet, CA
National Provider Identifier
1154873909
Registry record updated Oct 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
A92186 Issued in CA
Legal business name
ALIUDDIN KHAJA, MD., INC
Doing business as
Stanford Psychiatry Medical Group
Practice address
1300 W. Florida Ave
Suite - C
Hemet, CA 92543
Phone
(805) 952-3517
NPI assigned
Oct 27, 2016
Last updated
Oct 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2016

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

Authorized official

Name
Dr. Aliuddin M Khaja, MDNPI 1477754612
Title
Owner
Phone
(805) 952-3517

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0805X A92186 CA Primary

Addresses

Primary practice location

1300 W. Florida Ave
Suite - C
Hemet, CA 92543

Mailing address

1300 W Florida Ave Ste C
Hemet, CA 92543-4628
Phone (805) 952-3517

Other names 1

  • Stanford Psychiatry Medical Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Aliuddin Khaja MD Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477526400000",
    "number": "1154873909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W FLORIDA AVE STE C",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434628",
            "telephone_number": "805-952-3517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W. FLORIDA AVE",
            "address_2": "SUITE - C",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "92543",
            "telephone_number": "805-952-3517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIUDDIN KHAJA, MD., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-27",
        "last_updated": "2016-10-27",
        "status": "A",
        "authorized_official_last_name": "KHAJA",
        "authorized_official_first_name": "ALIUDDIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-952-3517",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "CA",
            "license": "A92186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stanford Psychiatry Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.