Active NPI
Abid Hameed Khan MD Professional Corporation
- Nephrology Physician
- Ontario, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- ABID HAMEED KHAN MD PROFESSIONAL CORPORATION
- Practice address
- 1001 W. Sixth Street
Suite a
Ontario, CA 91762 - Phone
- (909) 984-0313
- Fax
- (909) 984-0319
- NPI assigned
- Sep 20, 2007
- Last updated
- Mar 26, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Abid Hameed Khan, M.D.
- Title
- President
- Phone
- (909) 984-0313
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | Primary |
Addresses
Primary practice location
1001 W. Sixth Street
Suite a
Ontario, CA 91762
Mailing address
2229 N 2ND Ave
Upland, CA 91784-1397
Phone (909) 984-0313
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2009510 | Abid H Khan, MD Professional Corp | Certificate of waiver | Dec 3, 2027 |
National Provider Directory
National Provider DirectoryLocations
1001 W 6th St
Ste C
Ontario, CA 91762
2475 N Garey Ave
Pomona, CA 91767
Phone (909) 596-9997
Practitioners & affiliated clinicians
Practitioners 5
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.
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- Nephrology Physician
- Ontario, CA
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- NPI 1558591933
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- Los Angeles, CA
- NPI 1023245230
-
- Vascular & Interventional Radiology Physician
- Corona, CA
- NPI 1124280375
-
- Vascular & Interventional Radiology Physician
- Corona, CA
- NPI 1689015273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190246400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1427328000000",
"number": "1518153733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2229 N 2ND AVE",
"city": "UPLAND",
"state": "CA",
"postal_code": "917841397",
"telephone_number": "909-984-0313",
"fax_number": "909-984-0319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 W. SIXTH STREET",
"address_2": "SUITE A",
"city": "ONTARIO",
"state": "CA",
"postal_code": "91762",
"telephone_number": "909-984-0313",
"fax_number": "909-984-0319"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABID HAMEED KHAN MD PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-20",
"last_updated": "2015-03-26",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "ABID",
"authorized_official_middle_name": "HAMEED",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "909-984-0313",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ontario, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.