NPIMap

Organization Active NPI

Moiez Khankhanian, M.D. Inc

  • Psychiatry Physician
  • West Covina, CA
National Provider Identifier
1407157373
Registry record updated Nov 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MOIEZ KHANKHANIAN, M.D. INC
Practice address
933 S Sunset Ave Ste 105
West Covina, CA 91790-3410
Phone
(162) 681-3122
Fax
(626) 813-1221
NPI assigned
Nov 9, 2010
Last updated
Nov 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2010

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

Authorized official

Name
Dr. Moiez Khankhanian, M.D.
Title
President
Phone
(626) 813-1222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

933 S Sunset Ave Ste 105
West Covina, CA 91790-3410

Mailing address

933 S Sunset Ave Ste 105
West Covina, CA 91790-3410
Phone (626) 813-1222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101206000423 CA Part B Supplier - Clinic/Group Practice 8022205996 Receives reassigned benefits from 7 practitioners
Practice locations: Pasadena, CA; Rosemead, CA; San Gabriel, CA; South Pasadena, CA; West Covina, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289260800000",
    "number": "1407157373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 S SUNSET AVE STE 105",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903410",
            "telephone_number": "626-813-1222",
            "fax_number": "626-813-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 S SUNSET AVE STE 105",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903410",
            "telephone_number": "162-681-3122",
            "fax_number": "626-813-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOIEZ KHANKHANIAN, M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-09",
        "last_updated": "2010-11-09",
        "status": "A",
        "authorized_official_last_name": "KHANKHANIAN",
        "authorized_official_first_name": "MOIEZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-813-1222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.