Active NPI
Faraz Ahmed Khan, MD
- Emergency Medicine Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A184647
- Practice address
- 757 Westwood PLZ Ste 1517
Los Angeles, CA 90095-2012 - Phone
- (310) 794-0599
- NPI assigned
- Apr 19, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | A184647 | CA | Primary |
Addresses
Primary practice location
757 Westwood PLZ Ste 1517
Los Angeles, CA 90095-2012
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Other practice location 1
1250 16th St
Santa Monica, CA 90404-1249
Phone (310) 794-0599
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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 91.89 of 100
- Quality
- 78.69
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 93.25
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.74
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A184647 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centinela Freeman Emergency Medical Associates, Inc. | Emergency Medicine | Current | Accepting new patients |
| Regents of the Univ of Ca Emer Med | Emergency Medicine | Current | Accepting new patients |
| UCLA Medical Group | Emergency Medicine | Past | Accepting new patients |
Locations
555 E Hardy St
Inglewood, CA 90301
Phone (310) 419-8636
File 55675
Los Angeles, CA 90074
757 Westwood Plz
Ste 1517
Los Angeles, CA 90095
Phone (310) 794-0599
5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200
1250 16th St
Santa Monica, CA 90404
Phone (310) 301-8695
Interoperability endpoints
- fkhan57797@direct.uclahealth.org
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Inglewood, CA
- NPI 1528333101
-
dba UC Regents UCLA Emegency Medicine Physicians Group
- Emergency Medicine Physician
- Los Angeles, CA
- NPI 1104889138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688688000000",
"number": "1558924001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "757 WESTWOOD PLZ STE 1517",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900952012",
"telephone_number": "310-794-0599"
}
],
"practiceLocations": [
{
"address_1": "1250 16th St",
"address_purpose": "LOCATION",
"city": "Santa Monica",
"state": "CA",
"postal_code": "904041249",
"country_code": "US",
"telephone_number": "310-794-0599",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHAN",
"first_name": "FARAZ",
"middle_name": "AHMED",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-19",
"last_updated": "2023-07-07",
"certification_date": "2023-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A184647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.