Active NPI
Vikram Khanna, MD
- Family Medicine Physician
- Modesto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A70485
- Practice address
- 1114 6TH St
Modesto, CA 95354-2203 - Phone
- (209) 576-2845
- Fax
- (209) 576-8842
- NPI assigned
- Nov 22, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A70485 | CA | Primary |
Addresses
Primary practice location
1114 6TH St
Modesto, CA 95354-2203
Mailing address
737 W Childs Ave
Merced, CA 95340-6805
Phone (209) 383-1848
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A704850 | Other | CA | BLUE SHIELD OF CA PIN |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A70485 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Clinica de la Raza Inc | Current | Accepting new patients | |
| Transitions Buprenorphine Clinic of Sacramento | Current | Accepting new patients | |
| Good Health Medical Inc | Current | Accepting new patients | |
| American Current Care of California, a Medical Corporation | Current | Accepting new patients | |
| American Current Care of California, a Medical Corporation | Current | Accepting new patients | |
| Serenity Group, LLC | Past | Accepting new patients |
Locations
2021 Main St
Oakley, CA 94561
Phone (925) 776-8200
2240 Gladstone Dr
Ste 4
Pittsburg, CA 94565
Phone (925) 431-1230
5350 Madison Ave
Sacramento, CA 95841
Phone (916) 677-0008
2 Connecticut St
San Francisco, CA 94107
Phone (415) 621-5055
3 S Linden Ave
South San Francisco, CA 94080
Phone (650) 238-1500
21081 S Western Ave
Ste 150
Torrance, CA 90501
Phone (310) 782-3333
Organizations & group practices 6
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.
-
- Clinic/Center
- Los Angeles, CA
- NPI 1750573622
-
- Urgent Care Clinic/Center
- South San Francisco, CA
- NPI 1396294682
-
- Geriatric Medicine (Internal Medicine) Physician
- Sacramento, CA
- NPI 1710857933
-
- Federally Qualified Health Center (FQHC)
- Oakland, CA
- NPI 1144336181
-
- Clinic/Center
- Sacramento, CA
- NPI 1639615628
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Modesto, CA
- NPI 1639649353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1821071986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "737 W CHILDS AVE",
"city": "MERCED",
"state": "CA",
"postal_code": "953406805",
"telephone_number": "209-383-1848",
"fax_number": "209-383-1296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1114 6TH ST",
"city": "MODESTO",
"state": "CA",
"postal_code": "953542203",
"telephone_number": "209-576-2845",
"fax_number": "209-576-8842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHANNA",
"first_name": "VIKRAM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-22",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A70485",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CA PIN",
"identifier": "00A704850",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.