Individual provider Active NPI

Mahmood A Khan, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Pomona, CA
National Provider Identifier
1396759536
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
A75616 Issued in CA
Practice address
1798 N Garey Ave
Pomona, CA 91767-2918
Phone
(909) 855-6985
Fax
(909) 946-5721
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A75616 CA
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X A75616 CA Primary

Addresses

Primary practice location

1798 N Garey Ave
Pomona, CA 91767-2918

Mailing address

PO Box 788
Claremont, CA 91711-0788
Phone (909) 855-6985

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
I20061004000368 CA Practitioner - Internal MedicinePractitioner - Hospice/Palliative Care 9739185331 Reassigns benefits to 2 organizations
Practice locations: West Covina, CA; Covina, CA; Upland, CA; San Dimas, CA; Pomona, CA; Glendora, CA; Pasadena, CA; Arcadia, CA…

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospice/Palliative Care
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1115 S Sunset Ave
West Covina, CA 91790-3940
Phone (626) 962-4011

1500 Duarte Rd
Duarte, CA 91010-3012
Phone (626) 256-4673

1798 N Garey Ave
Pomona, CA 91767-2918
Phone (909) 855-9500

250 S Grand Ave
Glendora, CA 91741-4218
Phone (626) 814-2479

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A75616CAMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City of Hope Medical Group, Inc. Current Accepting new patients
City of Hope Medical Foundation CurrentSince Mar 1, 2015 Accepting new patients
Vitas Health Services of California Inc Hospice and Palliative Medicine CurrentSince Apr 22, 2016 Accepting new patients
Southern California Hospitalist Network Medical Group Inc Internal Medicine PastSince Jan 25, 2001 Accepting new patients
Emanate Health Medical Center Past Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients
Usc Arcadia Hospital Past Accepting new patients
San Antonio Regional Hospital Past Accepting new patients
THC - Orange County, LLC Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients
San Dimas Community Hospital, Inc. Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
Emanate Health Foothill Presbyterian Hospital Past Accepting new patients
Pih Health Whittier Hospital Past Accepting new patients

Locations

300 W Huntington Dr
Arcadia, CA 91007
Phone (626) 445-4441

210 W San Bernardino Rd
Covina, CA 91723
Phone (626) 858-8580

1343 N Grand Ave
Ste 100
Covina, CA 91724
Phone (626) 918-2273

1500 Duarte Rd
Duarte, CA 91010
Phone (626) 359-8111

250 S Grand Ave
Glendora, CA 91741
Phone (626) 857-3118

100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445

1798 N Garey Ave
Pomona, CA 91767
Phone (909) 865-9810

6939 Palm Ct
Riverside, CA 92506
Phone (760) 416-4832

1350 W Covina Blvd
San Dimas, CA 91773
Phone (909) 394-2745

209 Fair Oaks Ave
South Pasadena, CA 91030
Phone (626) 359-8111

999 San Bernardino Rd
Upland, CA 91786
Phone (909) 920-4841

1115 S Sunset Ave
West Covina, CA 91790
Phone (626) 814-2434

Interoperability endpoints

  • Direct secure messaging: mkhan9508@cityofhope.direct-ci.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 8

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490054400000",
    "number": "1396759536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 788",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917110788",
            "telephone_number": "909-855-6985",
            "fax_number": "909-946-5721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1798 N GAREY AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672918",
            "telephone_number": "909-855-6985",
            "fax_number": "909-946-5721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MAHMOOD",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2017-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A75616",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "A75616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.