NPIMap

Individual provider Active NPI

Shahid Nadeem Khan, MD

  • Family Medicine Physician
  • Gilroy, CA
National Provider Identifier
1629156203
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A94964 Issued in CA
Practice address
2295 Coral Bell CT
Gilroy, CA 95020-7903
Phone
(831) 578-9772
Fax
(530) 237-0793
NPI assigned
Nov 1, 2006
Last updated
Jun 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A94964 CA Primary

Addresses

Primary practice location

2295 Coral Bell CT
Gilroy, CA 95020-7903

Mailing address

2295 Coral Bell CT
Gilroy, CA 95020-7903
Phone (831) 578-9772

Other identifiers 1

IdentifierTypeStateIssuer
A94964OtherCACA LIC #

Other names 1

  • Khan Medical Associate Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070222000282 CA Practitioner - HospitalistPractitioner - Family PracticePractitioner - Internal Medicine 3870695893 Reassigns benefits to 6 organizations
Practice locations: Monterey, CA; Pacific Grove, CA

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice, Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Solomon Physicians Group PCGroup PAC ID 6709385677, 14 clinicians
Monterey Hospitalist Medical GroupGroup PAC ID 8527065531, 35 clinicians
Solomon Medical IncGroup PAC ID 4385041334, 31 clinicians
Altea Medical California PCGroup PAC ID 1850740150, 84 clinicians

Practice addresses (Care Compare)

19112 Garden Valley Way
Salinas, CA 93908-1557
Phone (831) 402-8728

23625 WR Holman Hwy
Monterey, CA 93940-5902
Phone (831) 625-4311

2530 Solace PL
Mountain View, CA 94040-4309
Phone (408) 401-2581

350 Iris Dr
Salinas, CA 93906-3514
Phone (831) 449-1515

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Monterey Hospitalist Medical Group CurrentSince Jul 15, 2008 Accepting new patients
Solomon Medical Inc CurrentSince Aug 6, 2023 Accepting new patients
Altea Medical California PC CurrentSince Oct 13, 2025 Accepting new patients
Monterey Bay Observation Medicine Hospitalist CurrentSince Feb 17, 2015 Accepting new patients
Solomon Medical Inc CurrentSince Aug 6, 2023 Accepting new patients
Careconnectmd Ca PC Family Medicine CurrentSince Jun 1, 2024 Accepting new patients
Solomon Physicians Group PC CurrentSince Feb 23, 2026 Accepting new patients
Khan Medical Associate PastSince Jun 15, 2010 Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

2321 Newburg Rd
Fortuna, CA 95540
Phone (707) 725-4457

5696 Lake Murray Blvd
La Mesa, CA 91942
Phone (619) 460-5225

517 S A St
Madera, CA 93638
Phone (559) 673-9228

2424 M St
Merced, CA 95340
Phone (209) 473-3896

1501 Skyline Dr
Monterey, CA 93940
Phone (831) 200-9651

1575 Skyline Dr
Monterey, CA 93940
Phone (831) 373-2731

23625 Wr Holman Hwy
Monterey, CA 93940
Phone (831) 622-2708

2530 Solace Pl
Mountain View, CA 94040
Phone (650) 502-1800

2124 57th Ave
Oakland, CA 94621
Phone (510) 261-2628

1120 Forest Ave
Pacific Grove, CA 93950
Phone (831) 200-9651

39950 Vista del Sol
Rancho Mirage, CA 92270
Phone (760) 340-0053

700 E Highland Ave
Redlands, CA 92374
Phone (909) 792-5083

350 Iris Dr
Salinas, CA 93906
Phone (831) 449-1515

637 E Romie Ln
Salinas, CA 93901
Phone (831) 424-0687

1990 Fruitdale Ave
San Jose, CA 95128
Phone (408) 998-8447

3000 N Gate Rd
Seal Beach, CA 90740
Phone (562) 594-5790

473 E Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

473 S Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

9107 Davis Rd
Stockton, CA 95209
Phone (209) 478-6488

2005 River St
Susanville, CA 96130
Phone (530) 257-5341

13333 Fenton Ave
Sylmar, CA 91342
Phone (818) 367-1033

535 Auto Center Dr
Watsonville, CA 95076
Phone (831) 724-0671

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Coastal Post AcuteSalinas, CA, CCN 055871 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2024
Jan 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1629156203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2295 CORAL BELL CT",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950207903",
            "telephone_number": "831-578-9772",
            "fax_number": "530-237-0793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2295 CORAL BELL CT",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950207903",
            "telephone_number": "831-578-9772",
            "fax_number": "530-237-0793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SHAHID",
        "middle_name": "NADEEM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A94964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LIC #",
            "identifier": "A94964",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KHAN",
            "last_name": "MEDICAL ASSOCIATE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Gilroy, CA

Sources for this page

Verify at the official NPI Registry.