Active NPI
Khazenay Bakhsh, DO
- Critical Care Medicine (Internal Medicine) Physician
- Loma Linda, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 2OA21001
- Practice address
- 11234 Anderson St RM Mc1516
Loma Linda, CA 92354-2804 - Phone
- (909) 558-4000
- NPI assigned
- Apr 18, 2010
- Last updated
- Sep 3, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2OA21001 | CA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 2OA21001 | CA | Primary |
Addresses
Primary practice location
11234 Anderson St RM Mc1516
Loma Linda, CA 92354-2804
Mailing address
11234 Anderson St RM Mc1516
Loma Linda, CA 92354-2804
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
- Pulmonary Disease
- Education
- Western University of Health Sciences College of Dental Med, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11234 Anderson St
Loma Linda, CA 92354-2804
11370 Anderson St
Loma Linda, CA 92354-3450
1454 E 2ND St
San Bernardino, CA 92408-0118
Phone (909) 382-7100
250 S G St
San Bernardino, CA 92410-3320
Phone (909) 382-7100
488 S K St
San Bernardino, CA 92410-2641
Phone (909) 383-8092
File Number
Suite 54701
Los Angeles, CA 90074-4701
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2OA21001 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sac Health System | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Sac Health System | Current | Accepting new patients | |
| Sac Health System | Current | Accepting new patients | |
| Temple Physicians Inc | Internal Medicine | Current | Accepting new patients |
| Loma Linda University Medical Center | Past | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Past | Accepting new patients | |
| Loma Linda University Children's Hospital | Past | Accepting new patients | |
| Reddy & Associates PC | Past | Accepting new patients | |
| Temple Physicians Inc | Past | Accepting new patients |
Locations
82934 Civic Center Dr
Indio, CA 92201
Phone (760) 477-0733
11370 Anderson St
Ste 1800
Loma Linda, CA 92354
Phone (909) 558-2154
11370 Anderson St
Ste 2600
Loma Linda, CA 92354
Phone (909) 558-2890
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
1455 3rd Ave
Sn Bernrdno, CA 92408
Phone (909) 382-7146
7600 Central Ave
Philadelphia, PA 19111
Phone (215) 707-5522
7600 Central Ave
Fl 2
Philadelphia, PA 19111
Phone (215) 725-7600
Interoperability endpoints
- kbakhsh5140@direct.llu.edu
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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dba SAC Arrowhead
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-
- Neurological Surgery Physician
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-
- Ophthalmology Physician
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- NPI 1437109469
-
- Federally Qualified Health Center (FQHC)
- San Bernardino, CA
- NPI 1467274126
-
- Federally Qualified Health Center (FQHC)
- Indio, CA
- NPI 1831624493
-
- Orthopaedic Surgery Physician
- Loma Linda, CA
- NPI 1275582918
-
- Children's Hospital
- Loma Linda, CA
- NPI 1366866345
-
- General Acute Care Hospital
- Loma Linda, CA
- NPI 1194731935
-
- Pain Medicine (Anesthesiology) Physician
- Philadelphia, PA
- NPI 1457305807
-
- Family Medicine Physician
- Flourtown, PA
- NPI 1952642936
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Loma Linda, CA
- NPI 1194731935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725321600000",
"number": "1184940033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11234 ANDERSON ST RM MC1516",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923542804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11234 ANDERSON ST RM MC1516",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923542804",
"telephone_number": "909-558-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKHSH",
"first_name": "KHAZENAY",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-18",
"last_updated": "2024-09-03",
"certification_date": "2024-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "2OA21001",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "CA",
"license": "2OA21001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loma Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.