Individual provider Active NPI

Khalida Assadullah Pathan, M.D.

  • Hospitalist Physician
  • Altadena, CA
National Provider Identifier
1265627707
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
A97589 Issued in CA
Practice address
888 Morada PL
Altadena, CA 91001-2425
Phone
(626) 696-3692
Fax
(626) 696-3784
NPI assigned
Sep 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A97589 CA
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X A97589 CA
Hospitalist Physician 208M00000X A97589 CA Primary

Addresses

Primary practice location

888 Morada PL
Altadena, CA 91001-2425

Mailing address

888 Morada PL
Altadena, CA 91001-2425
Phone (626) 696-3692

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080619000566 CA Practitioner - Internal MedicinePractitioner - Hospice/Palliative Care 2062583917 Reassigns benefits to 3 organizations
Practice locations: Altadena, CA; Pasadena, CA; Glendale, CA; Arcadia, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospice/Palliative Care
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern California Hospitalist Network Medical Group IncGroup PAC ID 8921990110, 76 clinicians

Practice addresses (Care Compare)

100 W California Blvd
Pasadena, CA 91105-3010
Phone (626) 696-3692

1420 S Central Ave
Glendale, CA 91204-2508
Phone (626) 696-3692

625 The City Dr S
Suite 320
Orange, CA 92868-4978
Phone (714) 202-2330

Hospital & facility affiliations

  • Comfort Care Home Health Home health agency, Van Nuys, CA, CCN 559197
  • Huntington Hospital Hospital, Pasadena, CA, CCN 050438

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A97589CAMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Khalida Pathan MD Dba KP Medical Center CurrentSince Jan 8, 2011 Accepting new patients
Galen Inpatient Physicians, PC Hospitalist Current Accepting new patients
Galen Inpatient Physicians Inc Internal Medicine CurrentSince Oct 11, 2021 Accepting new patients
Southern California Hospitalist Network Medical Group Inc Internal Medicine CurrentSince Jul 1, 2021 Accepting new patients
City of Hope Medical Group, Inc. Current Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Oct 11, 2021 Accepting new patients
Dignity Community Care Past Accepting new patients
Dignity Health Past Accepting new patients
Usc Verdugo Hills Hospital, LLC Past Accepting new patients
Healthcare Partners Affiliates Medical Group Internal Medicine Past Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients
Usc Arcadia Hospital Past Accepting new patients

Locations

1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

625 The City Dr S
Ste 320
Orange, CA 92868
Phone (714) 202-2330

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445

209 Fair Oaks Ave
South Pasadena, CA 91030
Phone (626) 359-8111

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1265627707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 MORADA PL",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910012425",
            "telephone_number": "626-696-3692",
            "fax_number": "626-696-3784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 MORADA PL",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910012425",
            "telephone_number": "626-696-3692",
            "fax_number": "626-696-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATHAN",
        "first_name": "KHALIDA",
        "middle_name": "ASSADULLAH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-07",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A97589",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "A97589",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A97589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altadena, CA

Sources for this page

Verify at the official NPI Registry.