Individual provider Active NPI

Vikram Khanna, MD

  • Family Medicine Physician
  • Modesto, CA
National Provider Identifier
1821071986
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A70485 Issued in CA
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

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00A704850OtherCABLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041014000898 CA Practitioner - Family Practice 7113987090 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A70485CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
La Clinica de la Raza Inc Current Accepting new patients
Transitions Buprenorphine Clinic of Sacramento Current Accepting new patients
Good Health Medical Inc CurrentSince Nov 18, 2025 Accepting new patients
American Current Care of California, a Medical Corporation CurrentSince Mar 24, 2023 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.

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

Verify at the official NPI Registry.