Individual provider Active NPI

Huma Khan, MD

  • Emergency Medicine Physician
  • Pasadena, CA
National Provider Identifier
1528367174
Registry record updated Oct 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
255313 Issued in NY
Practice address
2079 Monte Vista St
Pasadena, CA 91107
Phone
(714) 272-1055
NPI assigned
Mar 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2012

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 255313 NY Primary

Addresses

Primary practice location

2079 Monte Vista St
Pasadena, CA 91107

Mailing address

2079 Monte Vista St
Pasadena, CA 91107-2425

Other names 1

  • Dr. Huma Safdar Other name

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
I20121112000400 CA Practitioner - Emergency Medicine 8224289699 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gem Medical Group CorporationGroup PAC ID 3072984400, 54 clinicians

Practice addresses (Care Compare)

1701 Santa Anita Ave
South El Monte, CA 91733-3411
Phone (626) 579-7777

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
119519CAMDMarriage & Family Therapist
255313NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gem Medical Group Corporation Emergency Medicine CurrentSince Jun 1, 2023 Accepting new patients
Southland Emergency Medical Associates Inc Emergency Medicine CurrentSince Jan 7, 2018 Accepting new patients
Michael S. Agron, M.D., Inc. Emergency Medicine CurrentSince Sep 22, 2012 Accepting new patients
Gem Medical Group Corporation Emergency Medicine CurrentSince Jun 1, 2023 Accepting new patients
East Valley Emergency Medical Associates, Inc Emergency Medicine CurrentSince Apr 20, 2023 Accepting new patients

Locations

1111 W La Palma Ave
Anaheim, CA 92801
Phone (714) 774-1450

300 W Huntington Dr
Arcadia, CA 91007
Phone (626) 445-4441

900 S Atlantic Blvd
Monterey Park, CA 91754
Phone (626) 457-7450

525 N Garfield Ave
Monterey Park, CA 91754
Phone (626) 573-2222

1701 Santa Anita Ave
South El Monte, CA 91733
Phone (626) 350-7916

9080 Colima Rd
Whittier, CA 90605
Phone (562) 907-1565

Organizations & group practices 5

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": "1300752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350259200000",
    "number": "1528367174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2079 MONTE VISTA ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911072425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2079 MONTE VISTA ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91107",
            "telephone_number": "714-272-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "HUMA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-22",
        "last_updated": "2012-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "255313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HUMA",
            "last_name": "SAFDAR",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.