Organization Active NPI

Nasreen Babu-Khan MD a Prof Corp

  • Dermatology Physician
  • Pacific Palisades, CA
National Provider Identifier
1750651543
Registry record updated Jan 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
NASREEN BABU-KHAN MD A PROF CORP
Practice address
970 Monument St Ste 114
Pacific Palisades, CA 90272-3874
Phone
(310) 454-5915
Fax
(310) 454-5027
NPI assigned
Jan 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2012

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

Authorized official

Name
Dr. Nasreen Babu-Khan, MDNPI 1306923016
Title
Owner
Phone
(310) 454-5915

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

970 Monument St Ste 114
Pacific Palisades, CA 90272-3874

Mailing address

970 Monument St Ste 114
Pacific Palisades, CA 90272-3874
Phone (310) 454-5915

National Provider Directory

National Provider Directory

Locations

970 Monument St
Ste 114
Pacific Palisades, CA 90272
Phone (310) 454-5915

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326153600000",
    "number": "1750651543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 MONUMENT ST STE 114",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723874",
            "telephone_number": "310-454-5915",
            "fax_number": "310-454-5027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 MONUMENT ST STE 114",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723874",
            "telephone_number": "310-454-5915",
            "fax_number": "310-454-5027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASREEN BABU-KHAN MD A PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-10",
        "last_updated": "2012-01-10",
        "status": "A",
        "authorized_official_last_name": "BABU-KHAN",
        "authorized_official_first_name": "NASREEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-454-5915",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pacific Palisades, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; 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.