Active NPI
H. Joseph Khan, M.D., Inc.
- Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician
- Garden Grove, CA
National Provider Identifier
1710037346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician
- Legal business name
- H. JOSEPH KHAN, M.D., INC.
- Doing business as
- PARAMOUNT CARE MEDICAL GROUP
- Practice address
- 12881 Chapman Ave
Garden Grove, CA 92840-4100 - Phone
- (714) 663-2000
- Fax
- (714) 663-9953
- NPI assigned
- Jan 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Humayon Yousuf Khan, M.D.
- Title
- Medical Director
- Phone
- (714) 972-2111
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician | 207VH0002X | Primary | ||
| Pediatric Hospice and Palliative Medicine Physician | 2080H0002X |
Addresses
Primary practice location
12881 Chapman Ave
Garden Grove, CA 92840-4100
Mailing address
1629 W 17TH St
Suite a
Santa Ana, CA 92706-3335
Phone (714) 972-2111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0087941 | Medicaid | CA |
Other names 1
- PARAMOUNT CARE MEDICAL GROUP
National Provider Directory
National Provider Directory- Tax ID family
- H Joseph Khan M D Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician
- Santa Ana, CA
- NPI 1366592982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216771200000",
"number": "1710037346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1629 W 17TH ST",
"address_2": "SUITE A",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927063335",
"telephone_number": "714-972-2111",
"fax_number": "714-972-2045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12881 CHAPMAN AVE",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928404100",
"telephone_number": "714-663-2000",
"fax_number": "714-663-9953"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "H. JOSEPH KHAN, M.D., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-12",
"last_updated": "2008-07-23",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "HUMAYON",
"authorized_official_middle_name": "YOUSUF",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "714-972-2111",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207VH0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "2080H0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0087941",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PARAMOUNT CARE MEDICAL GROUP",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.