Rafae Khan, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

0101270466 Issued in VA

Practice address

Adult Medical Care Clinic Twentynine Palms 1546 6TH St
Twentynine Palms, CA 92277

Phone

(760) 830-2117

NPI assigned

Apr 28, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1556409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1831753524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ADULT MEDICAL CARE CLINIC TWENTYNINE PALMS 1546 6TH ST",
            "city": "TWENTYNINE PALMS",
            "state": "CA",
            "postal_code": "92277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ADULT MEDICAL CARE CLINIC TWENTYNINE PALMS 1546 6TH ST",
            "city": "TWENTYNINE PALMS",
            "state": "CA",
            "postal_code": "92277",
            "telephone_number": "760-830-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "RAFAE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-28",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101270466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wayne Carleton Johnson, IDC
• Katherine Weatherbie Jones
• Joshua Tree Gateway Communities Alliance
• Nicole Kang, PH.D.
• Vani Kathuria, DDS
• Nicholas Aaron Kilgore, PA-C
• Michael B Kim, D.O.
• Minkyung Kim
• Lorraine B. Kirkpatrick, NP
• Jennifer Knox, LMFT

• General Practice Physician in Twentynine Palms, CA
• Providers in Twentynine Palms, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; 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.

Verify at the official NPI Registry.