Active NPI
Anjum Hasan Khan, M.S.P.T.
- Pediatric Physical Therapist
- Granada Hills, CA
National Provider Identifier
1376708701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 24843
- Practice address
- 17221 Minnehaha St
Granada Hills, CA 91344-6128 - Phone
- (818) 366-7800
- NPI assigned
- Jul 24, 2008
- Last updated
- Jul 24, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 24843 | CA | Primary |
Addresses
Primary practice location
17221 Minnehaha St
Granada Hills, CA 91344-6128
Mailing address
17221 Minnehaha St
Granada Hills, CA 91344-6128
Phone (818) 366-7800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216857600000",
"number": "1376708701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17221 MINNEHAHA ST",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "913446128",
"telephone_number": "818-366-7800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17221 MINNEHAHA ST",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "913446128",
"telephone_number": "818-366-7800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "ANJUM",
"middle_name": "HASAN",
"name_prefix": "Mrs.",
"credential": "M.S.P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-24",
"last_updated": "2008-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "CA",
"license": "24843",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Granada Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.