Wendy Ann Khentigan, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G072521 Issued in CA

Practice address

345 Saxony Road
Suite 201
Encinitas, CA 92024

Phone

(760) 753-7341

Fax

(760) 753-6403

NPI assigned

Aug 23, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 28, 2013 through Jul 28, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457468902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 SAXONY ROAD",
            "address_2": "SUITE 201",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "92024",
            "telephone_number": "760-753-7341",
            "fax_number": "760-753-6403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 SAXONY ROAD",
            "address_2": "SUITE 201",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "92024",
            "telephone_number": "760-753-7341",
            "fax_number": "760-753-6403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHENTIGAN",
        "first_name": "WENDY",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G072521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keven Tagdiri M.D., Inc.
• Keven Tagdiri, MD, Inc.
• Chil Khakham, ND
• Renuka Kharkar, M.D.
• Datis Kharrazian, D.C., D.H.SC.
• Avid Khorram, PHD
• Sarah Khorram, CNM
• Shawn Thomas Kidd, D.C.
• Monica Ann Kieffer, D.O.
• Ray J. Kieffer Jr., DDS

• Psychiatry Physician in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.