Active NPI
Arash Khatami, M.D.
- Child & Adolescent Psychiatry Physician
- La Jolla, CA
National Provider Identifier
1770803116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- A114953
- Practice address
- 8950 Villa la Jolla Dr Ste A215
La Jolla, CA 92037-1711 - Phone
- (858) 367-3020
- NPI assigned
- Jun 8, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | A114953 | CA | Primary |
Addresses
Primary practice location
8950 Villa la Jolla Dr Ste A215
La Jolla, CA 92037-1711
Mailing address
P.O. Box 1770
La Mesa, CA 91944
Phone (858) 367-3020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A114953 | CA | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552867200000",
"number": "1770803116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 1770",
"city": "LA MESA",
"state": "CA",
"postal_code": "91944",
"telephone_number": "858-367-3020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8950 VILLA LA JOLLA DR STE A215",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920371711",
"telephone_number": "858-367-3020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHATAMI",
"first_name": "ARASH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-08",
"last_updated": "2019-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CA",
"license": "A114953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.