Organization Active NPI

Hameed a Khan M D Inc

  • Family Medicine Physician
  • Torrance, CA
National Provider Identifier
1427006113
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Aug 15, 2024

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00A314530MedicaidCA
W2731OtherCAM/CARE GROUP #

Other names 1

  • Hameed A Khan M D Inc Doing business as

Electronic endpoints 3

TypeEndpointUseAffiliation
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 IDStateProvider typePAC IDDetails
O20040326001355 CA Part B Supplier - Clinic/Group Practice 6507758208 Practice locations: Torrance, CA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.