Active NPI
Hameed a Khan M D Inc
- Family Medicine Physician
- Torrance, CA
National Provider Identifier
1427006113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- HAMEED A KHAN M D INC
- Practice address
- 3655 Lomita Blvd
Suite 421
Torrance, CA 90505-3931 - Phone
- (310) 540-5464
- Fax
- (310) 540-4761
- NPI assigned
- May 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Hameed A Khan, M D
- Title
- MD/Owner
- Phone
- (310) 540-5464
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Primary Care Clinic/Center | 261QP2300X |
Addresses
Primary practice location
3655 Lomita Blvd
Suite 421
Torrance, CA 90505-3931
Mailing address
3655 Lomita Blvd
Suite 421
Torrance, CA 90505-3931
Phone (310) 540-5464
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A314530 | Medicaid | CA | |
| W2731 | Other | CA | M/CARE GROUP # |
Other names 1
- Hameed A Khan M D Inc
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Torrance | Health Information Exchange (HIE) | |
| CONNECT URL | nhkhan@yahoo.com | Direct | |
| Other URL | peggy.stmg@yahoo.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040326001355 | CA | Part B Supplier - Clinic/Group Practice | 6507758208 | Practice locations: Torrance, CA |
National Provider Directory
National Provider DirectoryLocations
3246 Sepulveda Blvd
Ste 103
Torrance, CA 90505
Phone (310) 530-9019
3655 Lomita Blvd
Ste 421
Torrance, CA 90505
Phone (310) 540-5464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723680000000",
"number": "1427006113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3655 LOMITA BLVD",
"address_2": "SUITE 421",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905053931",
"telephone_number": "310-540-5464",
"fax_number": "310-540-4761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3655 LOMITA BLVD",
"address_2": "SUITE 421",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905053931",
"telephone_number": "310-540-5464",
"fax_number": "310-540-4761"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAMEED A KHAN M D INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-04",
"last_updated": "2024-08-15",
"certification_date": "2024-08-15",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "HAMEED",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "MD/OWNER",
"authorized_official_telephone_number": "310-540-5464",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M D"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A314530",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "M/CARE GROUP #",
"identifier": "W2731",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Torrance",
"affiliation": "N",
"endpointDescription": "Office Ally 24/7",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Torrance",
"address_1": "3655 Lomita Blvd",
"address_2": "Suite 421",
"city": "Torrance",
"state": "CA",
"country_code": "US",
"postal_code": "905053931",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "nhkhan@yahoo.com",
"affiliation": "N",
"endpointDescription": "office email personal",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "3655 Lomita Blvd",
"address_2": "Suite 421",
"city": "Torrance",
"state": "CA",
"country_code": "US",
"postal_code": "905053931",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "peggy.stmg@yahoo.com",
"affiliation": "N",
"endpointDescription": "office email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "peggy.stmg@yahoo.com",
"address_1": "3655 Lomita Blvd",
"address_2": "Suite 421",
"city": "Torrance",
"state": "CA",
"country_code": "US",
"postal_code": "905053931",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Hameed A Khan M D Inc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.