Active NPI
Dhira Khosla, DO
- Neurology Physician
- Menlo Park, CA
National Provider Identifier
1609079722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 20A9450
- Practice address
- 695 Oak Grove Ave
Suite 310
Menlo Park, CA 94025-4351 - Phone
- (650) 324-0700
- Fax
- (650) 324-0709
- NPI assigned
- Jun 6, 2007
- Last updated
- Jul 26, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 20A9450 | CA | Primary |
Addresses
Primary practice location
695 Oak Grove Ave
Suite 310
Menlo Park, CA 94025-4351
Mailing address
695 Oak Grove Ave
Suite 310
Menlo Park, CA 94025-4351
Phone (650) 324-0700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Previously, effective Aug 1, 2016 through Aug 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A9450 | CA | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280102400000",
"number": "1609079722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "695 OAK GROVE AVE",
"address_2": "SUITE 310",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940254351",
"telephone_number": "650-324-0700",
"fax_number": "650-324-0709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "695 OAK GROVE AVE",
"address_2": "SUITE 310",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940254351",
"telephone_number": "650-324-0700",
"fax_number": "650-324-0709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHOSLA",
"first_name": "DHIRA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-06",
"last_updated": "2010-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "20A9450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Menlo Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.