Hamida Khanmohammed, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

19597 Issued in CA

Practice address

393 East Walnut Street, Pasadena, Ca 91188
Southern California Permanente Medical Group
Pasadena, CA 91188

Phone

(626) 405-3224

NPI assigned

Mar 25, 2010

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1269475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269475200000",
    "number": "1467776096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SOUTHER CALIFORNIA PERMENTE",
            "address_2": "393 EAST WALNUT STREET",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911880001",
            "telephone_number": "626-405-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 EAST WALNUT STREET, PASADENA, CA 91188",
            "address_2": "SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91188",
            "telephone_number": "626-405-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANMOHAMMED",
        "first_name": "HAMIDA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-25",
        "last_updated": "2010-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "19597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sana Ahsan Khan, MD
• Sharif Ayaz Khan
• Michael Frank Khanchalian, D.D.S.
• Khanjian Chiropractic, Inc.
• Garbis Khanjian, GARBIS KHANJIAN, D.C
• Mervat Khaouly
• Faryal Khan Kharal
• Narine Kharikyan, NP
• Ani Khatchadourian, PSY.D.
• Narine Khechumyan, M.A., OTR/L

• Nurse Practitioner in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.