Organization Active NPI

Dareen Khalaf PCP Inc

  • Primary Care Clinic/Center
  • Pasadena, CA
National Provider Identifier
1710538095
Registry record updated Sep 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
DAREEN KHALAF PCP INC
Practice address
215 N Allen Ave
Pasadena, CA 91106-1601
Phone
(626) 360-4579
Fax
(855) 806-1554
NPI assigned
Sep 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2019

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

Authorized official

Name
Dareen Khalaf, MD
Title
Ceo
Phone
(323) 798-5158

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

215 N Allen Ave
Pasadena, CA 91106-1601

Mailing address

215 N Allen Ave
Pasadena, CA 91106-1601
Phone (626) 360-4579

Other practice location 1

1445 N La Brea Ave
Los Angeles, CA 90028-7505
Phone (626) 360-4579

Other practice location 2

1749 N Garey Ave
Pomona, CA 91767-2913
Phone (626) 360-4579

Other names 1

  • Quick Stop Primary Care Doing business as

National Provider Directory

National Provider Directory

Locations

215 N Allen Ave
Pasadena, CA 91106
Phone (323) 798-5158

NPI Registry JSON

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569542400000",
    "number": "1710538095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N ALLEN AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911061601",
            "telephone_number": "626-360-4579",
            "fax_number": "855-806-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N ALLEN AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911061601",
            "telephone_number": "626-360-4579",
            "fax_number": "855-806-1554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1445 N La Brea Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900287505",
            "country_code": "US",
            "telephone_number": "626-360-4579",
            "fax_number": "855-806-1554",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1749 N Garey Ave",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "CA",
            "postal_code": "917672913",
            "country_code": "US",
            "telephone_number": "626-360-4579",
            "fax_number": "855-806-1554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DAREEN KHALAF PCP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-27",
        "last_updated": "2019-09-27",
        "status": "A",
        "authorized_official_last_name": "KHALAF",
        "authorized_official_first_name": "DAREEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-798-5158",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quick Stop Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; 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.