Individual provider Active NPI

Khaled Fareed, M.D.

  • Urology Physician
  • Huntington Beach, CA
National Provider Identifier
1487671368
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
C169178 Issued in CA
Practice address
18800 Delaware St Ste 750
Huntington Beach, CA 92648-6094
Phone
(714) 546-1121
Fax
(714) 546-0428
NPI assigned
Jul 16, 2006
Last updated
Oct 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X C169178 CA Primary

Addresses

Primary practice location

18800 Delaware St Ste 750
Huntington Beach, CA 92648-6094

Mailing address

18800 Delaware St Ste 750
Huntington Beach, CA 92648-6094
Phone (714) 546-1121

Other identifiers 1

IdentifierTypeStateIssuer
C169178MedicaidCA

Other names 1

  • Dr. Khaled Farid Abdel-Aziz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191227000967 AZ Practitioner - Urology 0244330108 Reassigns benefits to 1 organization
I20200908000941 CA Practitioner - UrologyPractitioner - Internal Medicine 0244330108 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
UrologyAlso: Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Hoag Dr
Newport Beach, CA 92663-4162
Phone (949) 764-4624

18800 Delaware St
Suite 750
Huntington Beach, CA 92648-6094

1901 College Ave
Santa Ana, CA 92706-2334
Phone (714) 564-7816

200 Hospital Cir
Westminster, CA 92683-3910
Phone (714) 893-4541

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C169178CAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Stream Urology Urology CurrentSince Nov 27, 2024 Accepting new patients
District Medical Group, Inc CurrentSince Dec 1, 2019 Accepting new patients
Nextgen Wound Surgeons PC Urology CurrentSince Dec 1, 2024 Accepting new patients
District Medical Group, Inc Current Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Melvyn H. Novegrod, M.D., Inc. Urology CurrentSince Jan 1, 2021 Accepting new patients
District Medical Group, Inc CurrentSince Dec 1, 2019 Accepting new patients
Urology Center of Orange County Urology CurrentSince Aug 1, 2020 Accepting new patients
Maricopa County Special Health Care District Past Accepting new patients
Sharaf MD PastSince Mar 1, 2020 Accepting new patients
Shannon Medical Center Past Accepting new patients
District Medical Group, Inc Family Medicine Past Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients

Locations

2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

10840 Warner Ave
Ste 103
Fountain Valley, CA 92708
Phone (714) 395-4595

11100 Warner Ave
Ste 206
Fountain Vly, CA 92708
Phone (714) 546-1121

11160 Warner Ave
Ste 401
Fountain Vly, CA 92708
Phone (714) 546-1121

18800 Delaware St
Ste 750
Huntington Beach, CA 92648
Phone (714) 546-1121

1 Hoag Dr
Newport Beach, CA 92663
Phone (877) 742-4624

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: kfareed215263@direct.valleywisehealth.org
  • Direct secure messaging: kfareed5872@direct.ccf.org
  • Direct secure messaging: kfareed666777@direct.memorialcare.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 6

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": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1487671368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18800 DELAWARE ST STE 750",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926486094",
            "telephone_number": "714-546-1121",
            "fax_number": "714-546-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18800 DELAWARE ST STE 750",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926486094",
            "telephone_number": "714-546-1121",
            "fax_number": "714-546-0428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAREED",
        "first_name": "KHALED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "C169178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "C169178",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KHALED",
            "last_name": "ABDEL-AZIZ",
            "middle_name": "FARID",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.