Individual provider Active NPI

Homayoon Khanlou, MD

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1356335277
Registry record updated Sep 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A66631 Issued in CA
Practice address
6360 Wilshire Blvd
414
Los Angeles, CA 90048
Phone
(323) 397-0897
Fax
(323) 655-1377
NPI assigned
Sep 7, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A66631 CA Primary

Addresses

Primary practice location

6360 Wilshire Blvd
414
Los Angeles, CA 90048

Mailing address

6360 Wilshire Blvd
414
Los Angeles, CA 90048
Phone (323) 397-0897

Other identifiers 1

IdentifierTypeStateIssuer
00A666310MedicaidCA

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
I20101026001526 CA Practitioner - Internal Medicine 7517151210 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rumi Care CorpGroup PAC ID 1456885532, 2 clinicians
Agoura Hills Urgentocare PCGroup PAC ID 3476981226, 13 clinicians

Practice addresses (Care Compare)

19730 Ventura Blvd
Suite 101
Woodland Hills, CA 91364-2683
Phone (747) 247-0909

475 E Avenida de Los Arboles
Suite B
Thousand Oaks, CA 91360-2993
Phone (818) 483-0885

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anaheim Urgent Care, Inc CurrentSince Aug 11, 2018 Accepting new patients
Downtown Urgent Care CurrentSince Aug 11, 2018 Accepting new patients
Anaheim Urgent Care, Inc. Current Accepting new patients
Agoura Hills Urgentocare PC CurrentSince May 1, 2025 Accepting new patients
Rumi Care Corp Internal Medicine CurrentSince Feb 1, 2025 Accepting new patients
Miiid Incorporated Past Accepting new patients

Locations

5825 Kanan Rd
Ste B
Agoura Hills, CA 91301
Phone (424) 355-9163

5825 Kanan Rd
Agoura Hills, CA 91301
Phone (424) 355-1963

831 S State College Blvd
Anaheim, CA 92806
Phone (714) 533-2273

242 S Robertson Blvd
Beverly Hills, CA 90211
Phone (310) 652-2300

6010 Hidden Valley Rd
Ste 150
Carlsbad, CA 92011
Phone (760) 544-8233

9726 Venice Blvd
Culver City, CA 90232
Phone (310) 202-1300

888 S Figueroa St
Ste 600
Los Angeles, CA 90017

5717 Melrose Ave
Los Angeles, CA 90038
Phone (323) 957-2273

1300 N La Brea Ave
Los Angeles, CA 90028
Phone (323) 464-1336

35 W Los Angeles Ave
Moorpark, CA 93021
Phone (805) 529-5370

475 E Avenida de los Arboles
Ste B
Thousand Oaks, CA 91360
Phone (818) 483-0885

19730 Ventura Blvd
Ste 101
Woodland Hills, CA 91364
Phone (747) 247-0909

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378425600000",
    "number": "1356335277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6360 WILSHIRE BLVD",
            "address_2": "414",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90048",
            "telephone_number": "323-397-0897",
            "fax_number": "323-655-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6360 WILSHIRE BLVD",
            "address_2": "414",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90048",
            "telephone_number": "323-397-0897",
            "fax_number": "323-655-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANLOU",
        "first_name": "HOMAYOON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2013-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A66631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A666310",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.