Nasreen Babu-Khan, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

G75944 Issued in CA

Practice address

970 Monument St
Suite 114
Pacific Palisades, CA 90272-3800

Phone

(310) 454-5915

Fax

(310) 454-5027

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1306923016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 MONUMENT ST",
            "address_2": "SUITE 114",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723800",
            "telephone_number": "310-454-5915",
            "fax_number": "310-454-5027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 MONUMENT ST",
            "address_2": "SUITE 114",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723800",
            "telephone_number": "310-454-5915",
            "fax_number": "310-454-5027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABU-KHAN",
        "first_name": "NASREEN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G75944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "G75944",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "95-4698937",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aqu Wellness, Inc
• Kazuomi Arai, D.C.
• Erica Jean Archie, AMFT
• Azizeh Asgari, M.D.
• Leopold Thomas Avallone, M.D.
• Christina Patricia Bacigalupo, L.AC
• Antonia Marie Balfour, L.AC.
• Mihaela R. Balica, MD
• Bruce Beddoe, D.C.
• Ben Kohn MD a Professional Corporation

• Dermatology Physician in Pacific Palisades, CA
• Providers in Pacific Palisades, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.