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
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Shasta Community Health Center
Practice addresses (Care Compare)
1201 Industrial St
Redding, CA 96002-0757
Phone (530) 229-5000
Hospital & facility affiliations
- Oroville Hospital
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100920000050 | CA | Practitioner - Psychiatry |
1153446778 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A94558 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shasta Community Health Center | Psychiatry | Current | Accepting new patients |
| Shasta Community Health Center | Internal Medicine | Current |
Accepting new patients |
| Shasta Community Health Center | Internal Medicine | Current |
Accepting new patients |
| Orna Gil MD Inc | Current | Accepting new patients | |
| Advanced & Neuro-Interventional Psychiatry Inc | Psychiatry | Current |
Accepting new patients |
| Shasta Regional Medical Group, Inc | Current |
Accepting new patients | |
| Shasta Regional Medical Group Inc | Current |
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
- imran.khan.p1@direct.schc.nextgenshare.com
- https://fhir4.healow.com/fhir/r4/ABEFCA
- imran.khan.p3@direct.smmg.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Joyce Lynne Kewley
- Andrew David Key
- Marlowe Eugene Keyser
- KH Medical Billing LLC
- Aazib Khan
- Mohamed H Khan
- Sadia Mahmood Khan
- Surkhaba Khan
- Shahrzad Khoobyari
- Deepak Khosla
All providers in Redding, CA · Psychiatry Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.