Sanjay N. Khedia, M.D., Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A56166 Issued in CA

Legal business name

SANJAY N. KHEDIA, M.D., INC.

Practice address

211 W Badillo St
Covina, CA 91723-1907

Phone

(626) 915-7674

Fax

(626) 966-1952

NPI assigned

Aug 27, 2010

Last updated

Aug 27, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sanjay Natverlal Khedia, M.D.NPI 1326063801

Title

President

Phone

(909) 626-6214

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sanjay Natverlal Khedia, M.D.

  • Internal Medicine Physician
  • Covina, CA
  • NPI 1326063801
  Medicare reassignment NPD Authorized official
• Rachel Christian, NP

  • Family Nurse Practitioner
  • Los Angeles, CA
  • NPI 1508153933
  NPD (past)
• Marcela Montes

  • Family Nurse Practitioner
  • Covina, CA
  • NPI 1710161443
  NPD (past)
• Surbhi Udeshi

  • Family Nurse Practitioner
  • Montclair, CA
  • NPI 1801301718
  NPD (past)

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282867200000",
    "number": "1508172578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4869",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917910869",
            "telephone_number": "626-915-7674",
            "fax_number": "626-966-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W BADILLO ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231907",
            "telephone_number": "626-915-7674",
            "fax_number": "626-966-1952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANJAY N. KHEDIA, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-27",
        "last_updated": "2010-08-27",
        "status": "A",
        "authorized_official_last_name": "KHEDIA",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_middle_name": "NATVERLAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-626-6214",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A56166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sanford Therapy Inc (Wonderkind Pediatric Therapy)
• Daureen J Sanford, M.A., M.F.T.
• Elizabeth Sanford
• Tim Wayne Sanford I
• Vishal Sanghavi, PMHNP
• Luke Santa Presca, BS
• Alisa Marie Santana Santos, BCBA
• Kimberly Nicole Santana-Mendez
• Kaitlyn Elise Santana
• Joulene Marie Santellan

• Internal Medicine Physician in Covina, CA
• Providers in Covina, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.