Individual provider Active NPI

Faraaz O Khan, M.D.

  • Emergency Medicine Physician
  • Whittier, CA
National Provider Identifier
1477595346
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A80088 Issued in CA
Practice address
9080 Colima Rd
Whittier, CA 90605-1600
Phone
(562) 907-1565
Fax
(562) 907-1585
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A80088 CA Primary

Addresses

Primary practice location

9080 Colima Rd
Whittier, CA 90605-1600

Mailing address

2035 Calle Francesca
San Dimas, CA 91773-4457
Phone (626) 332-8463

Other identifiers 1

IdentifierTypeStateIssuer
00A800880MedicaidCA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040217001051 CA Practitioner - Emergency Medicine 4981599131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain View Emergency Physicians Medical Group IncGroup PAC ID 5092606376, 26 clinicians

Practice addresses (Care Compare)

999 San Bernardino Rd
Upland, CA 91786-4920
Phone (909) 985-2811

Hospital & facility affiliations

  • San Antonio Regional Hospital Hospital, Upland, CA, CCN 050099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain View Emergency Physicians Medical Group, Inc. Emergency Medicine CurrentSince Mar 15, 2004 Accepting new patients
East Valley Emergency Medical Associates, Inc Emergency Medicine PastSince May 16, 2021 Accepting new patients
Pediatrix Medical Group of California, a Professional Corporation Past Accepting new patients
Glendale Emergency Medical Associates, Inc Emergency Medicine Past Accepting new patients

Locations

999 San Bernardino Rd
Upland, CA 91786
Phone (909) 920-4841

Organizations & group practices 4

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

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477595346",
    "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": "626-332-8463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9080 COLIMA RD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906051600",
            "telephone_number": "562-907-1565",
            "fax_number": "562-907-1585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "FARAAZ",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A80088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A800880",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

Verify at the official NPI Registry.