Individual provider Active NPI

Sandeep K Khanna, M.D.

  • Ophthalmology Physician
  • Los Angeles, CA
National Provider Identifier
1366514044
Registry record updated May 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A48969 Issued in CA
Practice address
1700 E Cesar E Chavez Ave Ste 3400
Los Angeles, CA 90033-2469
Phone
(323) 526-7273
Fax
(323) 526-7235
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A48969 CA Primary

Addresses

Primary practice location

1700 E Cesar E Chavez Ave Ste 3400
Los Angeles, CA 90033-2469

Mailing address

1700 E Cesar E Chavez Ave Ste 3400
Los Angeles, CA 90033-2469
Phone (323) 526-7273

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
I20120201000244 CA Practitioner - Ophthalmology 0042258444 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Eye Care Medical Group IncGroup PAC ID 1951409572, 5 clinicians

Practice addresses (Care Compare)

1700 E Cesar E Chavez Ave
Suite 3400
Los Angeles, CA 90033-2469
Phone (844) 211-5462

1717 W Beverly Blvd
Suite a
Montebello, CA 90640-3971
Phone (562) 866-1803

5750 Downey Ave
Suite 101
Lakewood, CA 90712-1536
Phone (844) 211-5462

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
72.48

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Cities Medical Laser and Surgery Center Inc. CurrentSince Aug 13, 2013 Accepting new patients
Mercy Eye Care Medical Group Inc Ophthalmology CurrentSince Mar 16, 2001 Accepting new patients
Mercy Eye Care Medical Group Inc Ophthalmology Current Accepting new patients
Mercy Eye Care Medical Group Inc Ophthalmology Past Accepting new patients

Locations

9548 Artesia Blvd
Bellflower, CA 90706
Phone (562) 866-8293

5750 Downey Ave
Ste 101
Lakewood, CA 90712

1700 E Cesar E Chavez Ave
Ste 3400
Los Angeles, CA 90033
Phone (323) 526-7273

433 N 4th St
Ste 214
Montebello, CA 90640
Phone (323) 721-0648

1717 W Beverly Blvd
Ste A
Montebello, CA 90640
Phone (323) 724-1075

12480 Washington Blvd
Whittier, CA 90602
Phone (562) 698-0241

12484 Washington Blvd
Whittier, CA 90602

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/Freedom_MEC

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306800000000",
    "number": "1366514044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E CESAR E CHAVEZ AVE STE 3400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332469",
            "telephone_number": "323-526-7273",
            "fax_number": "323-526-7235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E CESAR E CHAVEZ AVE STE 3400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332469",
            "telephone_number": "323-526-7273",
            "fax_number": "323-526-7235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANNA",
        "first_name": "SANDEEP",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2011-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A48969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.