Active NPI
Farhat Naheed Khan, M.D.
- Family Medicine Physician
- Fremont, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A114102
- Practice address
- 3200 Kearney St
Fremont, CA 94538-2299 - Phone
- (510) 490-1222
- NPI assigned
- Oct 28, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A114102 | CA | Primary |
Addresses
Primary practice location
3200 Kearney St
Fremont, CA 94538-2299
Mailing address
325 Distel Cir
Los Altos, CA 94022-1408
Phone (510) 490-1222
Other practice location 1
1041 Rose Ave
Selma, CA 93662-3240
Phone (559) 891-6345
Other practice location 2
1041 Rose Ave
Selma, CA 93662-3240
Phone (559) 891-6345
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3200 Kearney St
Fremont, CA 94538-2299
Phone (510) 490-1222
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A114102 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Family Medicine | Current | Accepting new patients |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Central California Faculty Medical Group, Inc. | Family Medicine | Past | Accepting new patients |
| Sutter East Bay Medical Foundation | Family Medicine | Past | Accepting new patients |
| Alta Bates Summit Medical Center | Past | Accepting new patients |
Locations
4050 Dublin Blvd
Dublin, CA 94568
Phone (925) 875-6100
3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800
370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200
325 Distel Cir
Los Altos, CA 94022
Phone (510) 204-3977
2350 W El Camino Real
Fl 2
Mountain View, CA 94040
Phone (650) 691-6174
795 El Camino Real
#1112
Palo Alto, CA 94301
795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832
123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200
550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865
Interoperability endpoints
- fkhan313593@hisp.ehr.sutterhealth.org
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Palo Alto, CA
- NPI 1013950807
-
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1003267196
Family Medicine
-
- Clinical Medical Laboratory
- Santa Clara, CA
- NPI 1669287033
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Oakland, CA
- NPI 1043358542
-
- Internal Medicine Physician
- Clovis, CA
- NPI 1992742852
Family Medicine
-
- Family Medicine Physician
- Orinda, CA
- NPI 1871538769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591142400000",
"number": "1508166273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 DISTEL CIR",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940221408",
"telephone_number": "510-490-1222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 KEARNEY ST",
"city": "FREMONT",
"state": "CA",
"postal_code": "945382299",
"telephone_number": "510-490-1222"
}
],
"practiceLocations": [
{
"address_1": "1041 Rose Ave",
"address_purpose": "LOCATION",
"city": "Selma",
"state": "CA",
"postal_code": "936623240",
"country_code": "US",
"telephone_number": "559-891-6345",
"fax_number": "559-891-6346",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1041 Rose Ave",
"address_purpose": "LOCATION",
"city": "Selma",
"state": "CA",
"postal_code": "936623240",
"country_code": "US",
"telephone_number": "559-891-6345",
"fax_number": "559-891-6346",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHAN",
"first_name": "FARHAT",
"middle_name": "NAHEED",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-28",
"last_updated": "2020-06-03",
"certification_date": "2020-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A114102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; 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.