Active NPI
Sonia Fareeda Khan, MD
- Pediatric Adolescent Medicine Physician
- Fremont, CA
National Provider Identifier
1801056700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- A049044
- Practice address
- 39155 Liberty St Ste E500
Fremont, CA 94538-1516 - Phone
- (510) 378-3036
- NPI assigned
- Jun 13, 2008
- Last updated
- Dec 9, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A049044 | CA | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | A049044 | CA | |
| Pediatric Adolescent Medicine Physician | 2080A0000X | A049044 | CA | Primary |
Addresses
Primary practice location
39155 Liberty St Ste E500
Fremont, CA 94538-1516
Mailing address
39120 Argonaut Way
#363
Fremont, CA 94538-1304
Phone (510) 378-3036
Other practice location 1
39120 Argonaut Way
#363
Fremont, CA 94538-1304
Phone (510) 378-3036
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 |
|---|---|---|---|
| A049044 | CA | MD | Pediatric Adolescent Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607472000000",
"number": "1801056700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39120 ARGONAUT WAY",
"address_2": "#363",
"city": "FREMONT",
"state": "CA",
"postal_code": "945381304",
"telephone_number": "510-378-3036",
"fax_number": "510-793-9216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39155 LIBERTY ST STE E500",
"city": "FREMONT",
"state": "CA",
"postal_code": "945381516",
"telephone_number": "510-378-3036"
}
],
"practiceLocations": [
{
"address_1": "39120 Argonaut Way",
"address_2": "#363",
"address_purpose": "LOCATION",
"city": "Fremont",
"state": "CA",
"postal_code": "945381304",
"country_code": "US",
"telephone_number": "510-378-3036",
"fax_number": "510-793-9216",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHAN",
"first_name": "SONIA",
"middle_name": "FAREEDA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-13",
"last_updated": "2020-12-09",
"certification_date": "2020-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A049044",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "CA",
"license": "A049044",
"primary": false
},
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "CA",
"license": "A049044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.