Ayaz O Khan, D.O.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

20A9417 Issued in CA

Practice address

648 N Park Ave
Pomona, CA 91768-3621

Phone

(909) 927-8487

Fax

(844) 431-4730

NPI assigned

Jul 23, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Specialty

OphthalmologyAlso: General Practice, Osteopathic Manipulative Medicine

Education

College of Osteo Med of the Pacific at Pomona, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pomona Valley Hospital Medical Center Hospital, Pomona, CA, CCN 050231

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations (25 of 47)

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ayaz O Khan Inc

  • Ophthalmology Physician
  • Pomona, CA
  • NPI 1558720516
  Medicare reassignment NPD Authorized official
• Gintien Huang MD Inc

  dba San Bernardino Eye Specialists

  • Ophthalmology Physician
  • San Bernardino, CA
  • NPI 1609437599
  NPD
• BLC Glenwood Gardens SNF LH LLC

  dba Brookdale Riverwalk SNF (CA)

  • Skilled Nursing Facility
  • Bakersfield, CA
  • NPI 1275697658

  Ophthalmology

  NPD (past)
• Cedars-Sinai Medical Center

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1639172372
  NPD (past)
• Jeffrey V. Winston, MD a Professional Corp

  dba Winston Eye Care

  • Ophthalmology Physician
  • Fullerton, CA
  • NPI 1477687135
  NPD (past)
• Pih Health Whittier Hospital

  • General Acute Care Hospital
  • Whittier, CA
  • NPI 1043215379
  NPD (past)
• Pomona Valley Hospital Medical Center

  • General Acute Care Hospital
  • Pomona, CA
  • NPI 1518067586

  Ophthalmology

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Pomona Valley Hospital Medical Center

  • General Acute Care Hospital
  • Pomona, CA
  • NPI 1407813660
  Care Compare affiliation

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1467617159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 CALLE FRANCESCA",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917734457",
            "telephone_number": "626-376-8463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 N PARK AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917683621",
            "telephone_number": "909-927-8487",
            "fax_number": "844-431-4730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2035 Calle Francesca",
            "address_purpose": "LOCATION",
            "city": "San Dimas",
            "state": "CA",
            "postal_code": "917734457",
            "country_code": "US",
            "telephone_number": "909-927-8487",
            "fax_number": "844-431-4730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "AYAZ",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-23",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "CA",
            "license": "20A9417",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "20A9417",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "20A9417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ann Khacheryan, PHARMD
• Elhamy Fawzy Khalil, MD
• Hannah Khalil
• Imran S Khalil
• Khan Ali Dental Corporation (Kool Kidz Dentist & Orthodontics)
• Fahad Khan, M.D.
• Mahmood A Khan, M.D.
• Mansurur R. Khan, MD
• Sadia Khan
• Zayneb Khan

• Ophthalmology Physician in Pomona, CA
• Providers in Pomona, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.