Individual provider Active NPI

David Chia-Ont Khan, MD

  • Radiation Oncology Physician
  • El Segundo, CA
National Provider Identifier
1649274150
Registry record updated Nov 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
A65774 Issued in CA
Practice address
860 Parkview Drive North
El Segundo, CA 90245-4914
Phone
(310) 414-9990
Fax
(310) 943-2703
NPI assigned
Jun 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X A65774 CA Primary

Addresses

Primary practice location

860 Parkview Drive North
El Segundo, CA 90245-4914

Mailing address

860 Parkview Drive North
El Segundo, CA 90245-4914
Phone (310) 414-9990

Other identifiers 1

IdentifierTypeStateIssuer
00A657740MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041001000509 CA Practitioner - Radiation Oncology 4789663527 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Oregon Health Sciences University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Regents of the University of CaliforniaGroup PAC ID 3274573464, 32 clinicians

Practice addresses (Care Compare)

200 UCLA Med Plaza
B265
Los Angeles, CA 90024-6951
Phone (310) 825-9304

2020 Santa Monica Blvd
Suite 210
Santa Monica, CA 90404-2139
Phone (310) 458-2381

3445 Pacific Coast Hwy
Suite 300
Torrance, CA 90505-6660
Phone (310) 325-8252

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.51 of 100Reported as group
Quality
79.37
Promoting interoperability
100
Improvement activities
40
Cost
73.65

Merit-based Incentive Payment System (MIPS)

Final score
78.28 of 100Reported as group
Quality
68.36
Promoting interoperability
100
Improvement activities
40
Cost
48.88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A65774CAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Regents of the University of California CurrentSince Jan 24, 2023 Accepting new patients
The Regents of the University of California Radiation Oncology CurrentSince Jul 1, 2017 Accepting new patients
The Regents of the University of California CurrentSince Jan 24, 2023 Accepting new patients
UCLA Radiology Medical Group Radiation Oncology CurrentSince Jul 6, 2021 Accepting new patients
Emanate Health Medical Center Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
Cancer Care Consultants Medical Associates Radiation Oncology Past Accepting new patients
Memorial Medical Group Inc Past Accepting new patients
Gardena Hospital LP Past Accepting new patients
The Regents of the University of California Past Accepting new patients
UCLA Medical Group Past Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients
Dignity Community Care Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients
Cedars-Sinai Marina Hospital Past Accepting new patients
Genesiscare USA of California a Medical Corporation Radiation Oncology Past Accepting new patients

Locations

1211 W La Palma Ave
Ste 100
Anaheim, CA 92801
Phone (714) 956-1686

2400 Bahamas Dr
Bakersfield, CA 93309
Phone (661) 328-2333

860 N Park View Dr
Ste 309
El Segundo, CA 90245

860 N Park View Dr
El Segundo, CA 90245
Phone (310) 414-9990

11190 Warner Ave
Ste 115
Fountain Vly, CA 92708
Phone (714) 210-0140

24302 Paseo de Valencia
Ste 200
Laguna Hills, CA 92653
Phone (949) 458-8252

3951 Katella Ave
Ste 102
Los Alamitos, CA 90720
Phone (562) 799-3196

3751 Katella Ave
Los Alamitos, CA 90720
Phone (562) 799-3160

File 2939
Los Angeles, CA 90074
Phone (310) 794-6596

300 UCLA Medical Plz
Ste B130
Los Angeles, CA 90095
Phone (310) 206-0456

1338 S Hope St
Ste A
Los Angeles, CA 90015

File 55737
Los Angeles, CA 90074

18300 Roscoe Blvd
Northridge, CA 91325
Phone (818) 885-5331

2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381

100 Moody Ct
Ste 200
Thousand Oaks, CA 91360
Phone (805) 418-3500

100 Moody Ct
Thousand Oaks, CA 91360
Phone (805) 418-3500

3445 Pacific Coast Hwy
Ste 300
Torrance, CA 90505
Phone (310) 325-3044

27235 Tourney Rd
Ste 1400
Valencia, CA 91355
Phone (661) 253-5858

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: dkhan371249@direct.uclahealth.org

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384214400000",
    "number": "1649274150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 PARKVIEW DRIVE NORTH",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902454914",
            "telephone_number": "310-414-9990",
            "fax_number": "310-943-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 PARKVIEW DRIVE NORTH",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902454914",
            "telephone_number": "310-414-9990",
            "fax_number": "310-943-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "DAVID",
        "middle_name": "CHIA-ONT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2013-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "A65774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A657740",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Segundo, CA

Sources for this page

Verify at the official NPI Registry.