Imran Khan, MD

Individual provider Active NPI Psychiatry Physician · Redding, CA

NPI 1861514531 · NPPES record last updated Jul 19, 2024

Key facts

NPI
1861514531
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatry Physician 2084P0800X
License
A94558 (CA)
Practice address
1035 Placer St
Redding, CA 96001-1125
Phone
(530) 246-5710
Fax
(530) 241-7838
NPI assigned
Apr 4, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 12

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.

Hospital & facility affiliations 1

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

Medicare Care Compare profile

Specialty
Psychiatry
Also: Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shasta Community Health Center (63 clinicians)

Practice addresses (Care Compare)

1201 Industrial St
Redding, CA 96002-0757
Phone (530) 229-5000

Hospital & facility affiliations

  • Oroville Hospital Hospital · Oroville, CA · CCN 050030

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20100920000050 CA Practitioner - Psychiatry
Practitioner - Internal Medicine
1153446778 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A94558CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shasta Community Health Center Psychiatry Current Accepting new patients
Shasta Community Health Center Internal Medicine Current
since Apr 14, 2016
Accepting new patients
Shasta Community Health Center Internal Medicine Current
since Apr 14, 2016
Accepting new patients
Orna Gil MD Inc Current Accepting new patients
Advanced & Neuro-Interventional Psychiatry Inc Psychiatry Current
since Apr 22, 2024
Accepting new patients
Shasta Regional Medical Group, Inc Current
since Feb 14, 2016
Accepting new patients
Shasta Regional Medical Group Inc Current
since Feb 14, 2016
Accepting new patients

Locations

3300 Franklin St
Anderson, CA 96007
Phone (530) 212-0073

1801 W Olympic Blvd
#1640
Pasadena, CA 91199

1035 Placer St
Redding, CA 96001

1100 Butte St
Redding, CA 96001
Phone (530) 227-6361

201 Hartnell Ave
Redding, CA 96002
Phone (530) 212-0073

1355 East St
Ste 200
Redding, CA 96001
Phone (530) 229-2940

Interoperability endpoints

  • Direct secure messaging: imran.khan.p1@direct.schc.nextgenshare.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/ABEFCA
  • Direct secure messaging: imran.khan.p3@direct.smmg.nextgenshare.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A94558 CA
Psychiatry Physician 2084P0800X A94558 CA Yes

Addresses

Primary practice location

1035 Placer St
Redding, CA 96001-1125

Mailing address

PO Box 990208
Redding, CA 96099-0208
Phone (530) 212-0073

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 19, 2024.

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1861514531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 990208",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960990208",
            "telephone_number": "530-212-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 PLACER ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011125",
            "telephone_number": "530-246-5710",
            "fax_number": "530-241-7838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "IMRAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A94558",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A94558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

All providers in Redding, CA · Psychiatry Physician in California

Sources for this page

Verify at the official NPI Registry.