Nikan H Khatibi, DO

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

20A11914 Issued in CA

Practice address

1307 West 6TH Street
Suite 105
Corona, CA 92882-1944

Phone

(888) 873-6220

Fax

(888) 873-6220

NPI assigned

Apr 1, 2010

Last updated

Aug 16, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Specialty

Anesthesiology

Education

Kansas City College of Medicine and Surgery, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ahura Healthcare CorporationGroup PAC ID 6002198322, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

26.86 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

89.52

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

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.

• Ahura Healthcare Corporation

  dba Inland Pain Specialists

  • Interventional Pain Medicine Physician
  • Victorville, CA
  • NPI 1861742991
  Medicare reassignment Care Compare group Authorized official
• Aspire Health Mso LLC

  • Pain Medicine (Anesthesiology) Physician
  • Victorville, CA
  • NPI 1982579215
  Authorized official Same address or phone
• Doctors Hospital of Riverside LLC

  dba Parkview Community Hospital Medical Center

  • General Acute Care Hospital
  • Riverside, CA
  • NPI 1124596382
  NPD (past)
• Loma Linda Surgical Institute, LLC

  • Ambulatory Surgical Clinic/Center
  • Loma Linda, CA
  • NPI 1730834904
  NPD (past)
• Riverside Healthcare System, L.P.

  dba Riverside Community Hospital

  • Rehabilitation Hospital Unit
  • Riverside, CA
  • NPI 1053358010
  NPD (past)

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1326363300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29911 NIGUEL",
            "address_2": "#6429",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926779998",
            "telephone_number": "888-873-6220",
            "fax_number": "888-873-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 WEST 6TH STREET",
            "address_2": "SUITE 105",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928821944",
            "telephone_number": "888-873-6220",
            "fax_number": "888-873-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHATIBI",
        "first_name": "NIKAN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-01",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "20A11914",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": "20A11914",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rena Khandelwal, BCBA
• Sumit Mahendra Khandhar, DO
• Khani Chiropractic Inc.
• Arjang Khani, DC
• Hebah Khas
• Mostafa Khattab, DDS
• Sasha Khawaja, CCC-SLP
• Nushin Khazaeli
• Emma Khem
• Alladin Khoja, R. PH.

• Pain Medicine (Anesthesiology) Physician in Corona, CA
• Providers in Corona, CA by specialty
• Pain Medicine (Anesthesiology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; 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.

Verify at the official NPI Registry.