Pediatric Adult Endocrine Gilbert

Primary specialty

Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X

License

C134457 Issued in CA

Legal business name

PEDIATRIC ADULT ENDOCRINE GILBERT

Practice address

25078 Peachland Ave Ste a
Newhall, CA 91321-2558

Phone

(661) 253-4420

Fax

(661) 253-4425

NPI assigned

Jul 11, 2010

Last updated

Jul 31, 2023By 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

Dr. Khalid Syed Hasan, MDNPI 1417919085

Title

Ownerphysician

Phone

(661) 253-4420

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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.

• Khalid S Hasan, M.D.

  • Pediatric Endocrinology Physician
  • Newhall, CA
  • NPI 1417919085
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1278806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1659683217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25078 PEACHLAND AVE STE A",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913212558",
            "telephone_number": "661-253-4420",
            "fax_number": "661-253-4425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25078 PEACHLAND AVE STE A",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913212558",
            "telephone_number": "661-253-4420",
            "fax_number": "661-253-4425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ADULT ENDOCRINE GILBERT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-11",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A",
        "authorized_official_last_name": "HASAN",
        "authorized_official_first_name": "KHALID",
        "authorized_official_middle_name": "SYED",
        "authorized_official_title_or_position": "OWNERPHYSICIAN",
        "authorized_official_telephone_number": "661-253-4420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "C134457",
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "CA",
            "license": "C134457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147208",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julianna Joy Patridge
• Michael Pavan, D.C.
• Peachland Pharmacy, Inc. (Valencia Pharmacy)
• Peachland Pharmacy, Inc. (Valencia Pharmacy LTC)
• William John Peck
• Jennifer Pelayo
• Jennel Pena
• Catherine Michelle Penuela, MFT
• Peregrine Care, LLC (Home Instead Senior Care)
• Gwendolyn Perez, M.S.

• Pediatric Endocrinology Physician in Newhall, CA
• Providers in Newhall, CA by specialty
• Pediatric Endocrinology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.