Individual provider Active NPI

Eddie Khav, DO

  • Nephrology Physician
  • San Diego, CA
National Provider Identifier
1659900876
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
20A20900 Issued in CA
Practice address
8010 Frost St Ste 100
San Diego, CA 92123-4222
Phone
(858) 637-4700
Fax
(858) 637-4701
NPI assigned
Apr 8, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 20A20900 CA Primary

Addresses

Primary practice location

8010 Frost St Ste 100
San Diego, CA 92123-4222

Mailing address

9373 Hazard Way Ste 200
San Diego, CA 92123-1226
Phone (858) 810-8000

Other practice location 1

8885 Rio San Diego Dr Ste 212
San Diego, CA 92108-1626
Phone (619) 299-2350

Other identifiers 1

IdentifierTypeStateIssuer
20A20900OtherCALICENSE

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
I20250516000701 CA Practitioner - Nephrology 9537529433 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A20900CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Usc Care Medical Non-Contracted LLC Nephrology CurrentSince Jun 1, 2025 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Jun 1, 2025 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Jun 1, 2025 Accepting new patients

Locations

300 W Huntington Dr
Arcadia, CA 91007
Phone (626) 445-4441

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

1520 San Pablo St
Ste 1000
Los Angeles, CA 90033
Phone (626) 457-5839

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1659900876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9373 HAZARD WAY STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231226",
            "telephone_number": "858-810-8000",
            "fax_number": "858-268-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8010 FROST ST STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234222",
            "telephone_number": "858-637-4700",
            "fax_number": "858-637-4701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8885 Rio San Diego Dr Ste 212",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921081626",
            "country_code": "US",
            "telephone_number": "619-299-2350",
            "fax_number": "619-297-8379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAV",
        "first_name": "EDDIE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-08",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "20A20900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "20A20900",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.