Individual provider Active NPI

Imran Khan, MD

  • Psychiatry Physician
  • Redding, CA
National Provider Identifier
1861514531
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A94558 Issued in CA
Practice address
1035 Placer St
Redding, CA 96001-1125
Phone
(530) 246-5710
Fax
(530) 241-7838
NPI assigned
Apr 4, 2007
Last updated
Jul 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Specialties & licenses 2

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

Addresses

Primary practice location

1035 Placer St
Redding, CA 96001-1125

Mailing address

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

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
I20100920000050 CA Practitioner - PsychiatryPractitioner - Internal Medicine 1153446778 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shasta Community Health CenterGroup PAC ID 3870579816, 63 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
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 CurrentSince Apr 14, 2016 Accepting new patients
Shasta Regional Medical Group Inc CurrentSince Feb 14, 2016 Accepting new patients
Shasta Regional Medical Group, Inc CurrentSince Feb 14, 2016 Accepting new patients
Orna Gil MD Inc Current Accepting new patients
Advanced & Neuro-Interventional Psychiatry Inc Psychiatry CurrentSince Apr 22, 2024 Accepting new patients
Shasta Community Health Center Internal Medicine CurrentSince Apr 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

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

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

Interoperability endpoints

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

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "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

Sources for this page

Verify at the official NPI Registry.