NPIMap

Individual provider Active NPI

Fawad Zafar-Khan, MD

  • Nephrology Physician
  • Santa Monica, CA
National Provider Identifier
1699827873
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A61984 Issued in CA
Practice address
2021 Santa Monica Blvd Ste 710E
Santa Monica, CA 90404-2208
Phone
(310) 829-0906
Fax
(310) 449-1415
NPI assigned
Jan 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2023

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 A61984 CA Primary

Addresses

Primary practice location

2021 Santa Monica Blvd Ste 710E
Santa Monica, CA 90404-2208

Mailing address

PO Box 2878
Venice, CA 90294-2878
Phone (310) 829-0906

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051130000640 CA Practitioner - NephrologyPractitioner - Internal Medicine 2769402171 Practice locations: Santa Monica, CA

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2021 Santa Monica Blvd
Suite 710E
Santa Monica, CA 90404-2208
Phone (310) 829-0906

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A61984CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
THC - Orange County LLC Past Accepting new patients
Providence Saint John's Health Center Past Accepting new patients
Cedars-Sinai Marina Hospital Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
Fawad Zafarkhan M.D., Inc Nephrology PastSince May 7, 2023 Accepting new patients
California Corporation Usmd Direct, Inc PastSince May 7, 2023 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: fzafarkhan53766@direct.uclahealth.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Westwood Post Acute CareLos Angeles, CA, CCN 055060 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 1, 2025
Jun 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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.

Hospital & facility affiliations 10

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": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1699827873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2878",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902942878",
            "telephone_number": "310-829-0906",
            "fax_number": "310-449-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 SANTA MONICA BLVD STE 710E",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042208",
            "telephone_number": "310-829-0906",
            "fax_number": "310-449-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAFAR-KHAN",
        "first_name": "FAWAD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A61984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.