Active NPI
Rupdev S. Khosa, M.D., Inc
- Physical Medicine & Rehabilitation Physician
- Arcadia, CA
National Provider Identifier
1730496480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- A54411
- Legal business name
- RUPDEV S. KHOSA, M.D., INC
- Practice address
- 550 W Duarte Rd
#4
Arcadia, CA 91007-7331 - Phone
- (626) 445-7500
- Fax
- (626) 445-7555
- NPI assigned
- Sep 1, 2010
- 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
- Rupdev K. Khosa, M.D.
- Title
- President
- Phone
- (626) 445-7500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | A54411 | CA | Primary |
Addresses
Primary practice location
550 W Duarte Rd
#4
Arcadia, CA 91007-7331
Mailing address
550 W Duarte Rd
#4
Arcadia, CA 91007-7331
Phone (626) 445-7500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A54411 | Other | CA | MEDICARE - PALMETTO GBA |
| 00A544110 | Medicaid | CA | |
| 250011214 | Other | CA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
505 N Garfield Ave
Monterey Park, CA 91754
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Arcadia, CA
- NPI 1033210497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283299200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1426550400000",
"number": "1730496480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 W DUARTE RD",
"address_2": "#4",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910077331",
"telephone_number": "626-445-7500",
"fax_number": "626-445-7555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 W DUARTE RD",
"address_2": "#4",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910077331",
"telephone_number": "626-445-7500",
"fax_number": "626-445-7555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RUPDEV S. KHOSA, M.D., INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-01",
"last_updated": "2015-03-17",
"status": "A",
"authorized_official_last_name": "KHOSA",
"authorized_official_first_name": "RUPDEV",
"authorized_official_middle_name": "K.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "626-445-7500",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "CA",
"license": "A54411",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE - PALMETTO GBA",
"identifier": "A54411",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A544110",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "250011214",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arcadia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.