Ali Khan

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

RT1437530326 Issued in CA

Practice address

771 W Orangethorpe Ave
Fullerton, CA 92832-2806

Phone

(714) 879-0929

NPI assigned

Mar 26, 2026

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Woodglen Recovery Junction Incorporated

  • Substance Abuse Rehabilitation Facility
  • Fullerton, CA
  • NPI 1437244159
  NPD (past)
• Woodglen West Detox

  • Substance Abuse Rehabilitation Facility
  • Fullerton, CA
  • NPI 1093268849
  NPD (past)

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

{
    "created_epoch": "1774483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1669311445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 E ADAMS AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928675806",
            "telephone_number": "714-879-0929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 W ORANGETHORPE AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928322806",
            "telephone_number": "714-879-0929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ALI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-03-26",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "RT1437530326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farhan Khabaz, MD
• Raya Khadage
• Kiarash Khajavi, M.D.
• Noelle Khalaf
• Amanda Alves Khamis, O.D.
• Tamara Trinder Khan, RN
• Sara Kharazmi
• Maryam Khatami, OD
• Omar Khatatba
• Jasmine Khatibi

• Addiction (Substance Use Disorder) Counselor in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.