Red Bow Medical Associates Inc

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

RED BOW MEDICAL ASSOCIATES INC

Practice address

36915 Cook St Ste 103
Palm Desert, CA 92211-6067

Phone

(442) 666-3025

Fax

(760) 340-4844

NPI assigned

May 23, 2014

Last updated

Aug 22, 2022By 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

Sana Khan, D.O.NPI 1205262466

Title

Medical Director

Phone

(760) 641-7217

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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.

• Sana Khan, D.O

  • Adult Medicine Physician
  • Chino, CA
  • NPI 1205262466
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1400803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661126400000",
    "number": "1639581713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36915 COOK ST, SUITE 103",
            "address_2": "STE 103",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116067",
            "telephone_number": "760-340-1003",
            "fax_number": "760-340-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36915 COOK ST STE 103",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116067",
            "telephone_number": "442-666-3025",
            "fax_number": "760-340-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED BOW MEDICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-23",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SANA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "760-641-7217",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "20A12642",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Medicine Physician in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Adult Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.