Fauzia Khan MD Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

A50190 Issued in CA

Legal business name

FAUZIA KHAN MD INC

Practice address

135 Las Tunas Dr
Arcadia, CA 91007-8513

Phone

(626) 445-4310

Fax

(626) 445-4583

NPI assigned

May 25, 2010

Last updated

Feb 8, 2020By 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

Zul Khan

Title

Manager

Phone

(626) 445-4310

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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.

• Fauzia Khan, MD

  • Internal Medicine Physician
  • Arcadia, CA
  • NPI 1326039678

  Specialist

  Medicare reassignment NPD

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581120000000",
    "number": "1538488960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 LAS TUNAS DR",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910078513",
            "telephone_number": "626-445-4310",
            "fax_number": "626-445-4583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 LAS TUNAS DR",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910078513",
            "telephone_number": "626-445-4310",
            "fax_number": "626-445-4583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAUZIA KHAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-25",
        "last_updated": "2020-02-08",
        "certification_date": "2020-02-08",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "ZUL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "626-445-4310"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A50190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED",
            "identifier": "A50190",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A50190",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Johnny Fang
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• Fashion Optical Corporation
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• Stephen Michael Fernandez, M.D.
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• Rizaldy R Ferrer, PHD

• Specialist in Arcadia, CA
• Providers in Arcadia, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2020; 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.