Active NPI
Khalida Assadullah Pathan, M.D.
- Hospitalist Physician
- Altadena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- A97589
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Huntington Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A97589 | CA | MD | Hospice and Palliative Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Khalida Pathan MD Dba KP Medical Center | Current | Accepting new patients | |
| Galen Inpatient Physicians, PC | Hospitalist | Current | Accepting new patients |
| Galen Inpatient Physicians Inc | Internal Medicine | Current | Accepting new patients |
| Southern California Hospitalist Network Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| City of Hope Medical Group, Inc. | Current | Accepting new patients | |
| Galen Inpatient Physicians PC | Hospitalist | Current | 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.
-
- Internal Medicine Physician
- Orange, CA
- NPI 1790880458
-
- Hospitalist Physician
- Manteca, CA
- NPI 1689320459
-
- Primary Care Clinic/Center
- Altadena, CA
- NPI 1205287208
-
- Hospitalist Physician
- Glendale, CA
- NPI 1245799279
-
- Anesthesiology Physician
- Duarte, CA
- NPI 1033435292
-
- Internal Medicine Physician
- Poway, CA
- NPI 1326389289
-
- Hospitalist Physician
- Los Angeles, CA
- NPI 1205787686
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1467560599
-
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1104981661
-
- Skilled Nursing Facility
- Glendale, CA
- NPI 1114916293
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1659312593
-
- Psychiatric Hospital Unit
- Pasadena, CA
- NPI 1437121142
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Lake Balboa, CA
- NPI 1295229128
-
- General Acute Care Hospital
- Pasadena, CA
- NPI 1407828429
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.