Ali Asghar Raza Khan, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

110704 Issued in CA

Practice address

10965 Firestone Blvd Ste B
Norwalk, CA 90650-2214

Phone

(562) 925-0887

NPI assigned

Jul 26, 2023

Last updated

Sep 9, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1578244240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14827 JACKSON SAWMILL LN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774982086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10965 FIRESTONE BLVD STE B",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906502214",
            "telephone_number": "562-925-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ALI ASGHAR",
        "middle_name": "RAZA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-26",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "39561",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "110704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Ann Kempinsky, PHD
• Kenneth C Nieberg MD Inc
• Dylan Kenney
• Hedi Kermani, DDS, MDS
• Mandana Khalatbari, DDS
• Babak Khorram, PHYSICIAN ASSISTANT
• Hirad Khorramian
• Gohar Khosravi, M.D
• Kibrom G Asrat DPM Apc
• Kibrom G. Asrat DPM Apc Inc.

• Dentist in Norwalk, CA
• Providers in Norwalk, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.