Individual provider Active NPI

Tipu Vahid Khan, M.D.

  • Addiction Medicine (Family Medicine) Physician
  • Ventura, CA
National Provider Identifier
1801059555
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
A110206 Issued in CA
Practice address
300 Hillmont Ave Ste 201
Ventura, CA 93003-1651
Phone
(805) 652-6100
NPI assigned
Jul 2, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A110206 CA
Family Medicine Physician 207Q00000X A110206 CA
General Practice Physician 208D00000X A110206 CA
Hospitalist Physician 208M00000X A110206 CA
Addiction Medicine (Family Medicine) Physician 207QA0401X A110206 CA Primary

Addresses

Primary practice location

300 Hillmont Ave Ste 201
Ventura, CA 93003-1651

Mailing address

3291 Loma Vista Rd
Ventura, CA 93003-3099
Phone (805) 652-6228

Other practice location 1

3291 Loma Vista Rd
Ventura, CA 93003-3099
Phone (805) 652-6228

Other practice location 2

3147 Loma Vista Rd
Ventura, CA 93003-2917
Phone (805) 652-6694

Other practice location 3

1280 S. Victoria Ave # 250
Ventura, CA 93003-6521
Phone (805) 351-0745

Other practice location 4

845 E Arrow Hwy
Pomona, CA 91767-2535
Phone (909) 621-5999

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tipu.khan@ventura.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111116000857 CA Practitioner - Family PracticePractitioner - Addiction MedicinePractitioner - Emergency Medicine 2567636178 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Addiction Medicine
Education
University of Washington School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Memorial Health SystemGroup PAC ID 9537155676, 187 clinicians
County of VenturaGroup PAC ID 7911810171, 340 clinicians

Practice addresses (Care Compare)

147 N Brent St
Ventura, CA 93003-2809
Phone (805) 652-5011

300 Hillmont Ave
Ventura, CA 93003-1651

Hospital & facility affiliations

  • Ventura County Medical Center Hospital, Ventura, CA, CCN 050159

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A110206CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthright 360 CurrentSince Dec 24, 2019 Accepting new patients
Community Memorial Health System Current Accepting new patients
Community Memorial Health System CurrentSince Feb 1, 2024 Accepting new patients
Seaside Emergency Associates Emergency Medicine CurrentSince Jan 1, 2015 Accepting new patients
County of Ventura CurrentSince Oct 6, 2014 Accepting new patients
Healthright 360 Current Accepting new patients
Golden State Emergency Physicians Inc Emergency Medicine CurrentSince Oct 8, 2011 Accepting new patients
Healthright 360 CurrentSince Dec 24, 2019 Accepting new patients
Matthew L Bloom DO PC CurrentSince May 1, 2024 Accepting new patients
First Choice Physician Partners Current Accepting new patients
County of Ventura Current Accepting new patients
Community Memorial Health System CurrentSince Feb 1, 2024 Accepting new patients
625 North a Street Oxnard Surgery Center, LLC PastSince May 1, 2024 Accepting new patients

Locations

422 Arneill Rd
Ste B
Camarillo, CA 93010
Phone (805) 383-4510

1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555

1600 N Rose Ave
Oxnard, CA 93030
Phone (805) 988-2500

2921 Saviers Rd
Oxnard, CA 93033
Phone (805) 487-5588

2650 E Foothill Blvd
Pasadena, CA 91107
Phone (212) 542-3838

825 N 10th St
Santa Paula, CA 93060
Phone (805) 933-8600

300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6000

147 N Brent St
Ventura, CA 93003
Phone (805) 652-5011

138 W Main St
Ste E
Ventura, CA 93001
Phone (805) 667-2850

300 Hillmont Ave
Ste 201
Ventura, CA 93003
Phone (805) 652-6100

800 S Victoria Ave
#L4640
Ventura, CA 93009

1280 S Victoria Ave
Ste 250
Ventura, CA 93003
Phone (805) 351-0745

300 Hillmont Ave
Bldg 340
Ventura, CA 93003
Phone (805) 652-6100

3147 Loma Vista Rd
Ventura, CA 93003
Phone (805) 652-5754

3291 Loma Vista Rd
Ventura, CA 93003
Phone (805) 652-6000

5855 Olivas Park Dr
Ventura, CA 93003
Phone (805) 652-5469

20301 Ventura Blvd
Ste 210
Woodland Hls, CA 91364
Phone (818) 346-4300

Interoperability endpoints

  • Direct secure messaging: tipu.khan@ventura.cernerdirect.com

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 14

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1801059555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3291 LOMA VISTA RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033099",
            "telephone_number": "805-652-6228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HILLMONT AVE STE 201",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031651",
            "telephone_number": "805-652-6100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3291 Loma Vista Rd",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930033099",
            "country_code": "US",
            "telephone_number": "805-652-6228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3147 Loma Vista Rd",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930032917",
            "country_code": "US",
            "telephone_number": "805-652-6694",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1280 S. Victoria Ave # 250",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930036521",
            "country_code": "US",
            "telephone_number": "805-351-0745",
            "fax_number": "805-288-6744",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "845 E Arrow Hwy",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "CA",
            "postal_code": "917672535",
            "country_code": "US",
            "telephone_number": "909-621-5999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "TIPU",
        "middle_name": "VAHID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-02",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A110206",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A110206",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A110206",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A110206",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "CA",
            "license": "A110206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tipu.khan@ventura.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Cerner Direct Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Information",
            "address_1": "3291 Loma Vista Rd",
            "city": "Ventura",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930033099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.