Active NPI
Ahmereen A. Khan, M.D.
- Internal Medicine Physician
- Covina, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- C55695
- Practice address
- 420 W Rowland St
Covina, CA 91723-2943 - Phone
- (626) 331-6411
- Fax
- (626) 251-1560
- NPI assigned
- Jun 5, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | C55695 | CA | Primary |
Addresses
Primary practice location
420 W Rowland St
Covina, CA 91723-2943
Mailing address
420 W Rowland St
Covina, CA 91723-2943
Phone (626) 331-6411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036110411 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
625 The City Dr S
Suite 320
Orange, CA 92868-4978
Phone (714) 202-2330
Hospital & facility affiliations
- Emanate Health Inter-Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C55695 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Partners Affiliates Medical Group | Internal Medicine | Current | Accepting new patients |
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Southern California Hospitalist Network Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Carle Health Care Incorporated | Internal Medicine | Past | Accepting new patients |
Locations
1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000
824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706
420 W Rowland St
Covina, CA 91723
Phone (626) 331-6411
625 The City Dr S
Ste 320
Orange, CA 92868
Phone (714) 202-2330
601 Torrance Blvd
#1182
Redondo Beach, CA 90277
1115 S Sunset Ave
West Covina, CA 91790
Phone (626) 814-2434
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Orange, CA
- NPI 1790880458
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1659312593
-
- Durable Medical Equipment & Medical Supplies
- Murrieta, CA
- NPI 1760057269
-
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Covina, CA
- NPI 1063441293
-
- Psychiatric Hospital Unit
- Covina, CA
- NPI 1215063151
-
- General Acute Care Hospital
- Covina, CA
- NPI 1982629440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453680000000",
"number": "1174562243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 W ROWLAND ST",
"city": "COVINA",
"state": "CA",
"postal_code": "917232943",
"telephone_number": "626-331-6411",
"fax_number": "626-251-1560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 W ROWLAND ST",
"city": "COVINA",
"state": "CA",
"postal_code": "917232943",
"telephone_number": "626-331-6411",
"fax_number": "626-251-1560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "AHMEREEN",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-05",
"last_updated": "2016-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "C55695",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036110411",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.