Active NPI
Muhammad Khan KK, DPT
- Physical Therapist
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 299545
- Practice address
- 3760 Convoy St Ste 100
San Diego, CA 92111-3743 - Phone
- (858) 573-9368
- Fax
- (858) 874-0582
- NPI assigned
- Dec 30, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 299545 | CA | Primary |
Addresses
Primary practice location
3760 Convoy St Ste 100
San Diego, CA 92111-3743
Mailing address
3760 Convoy St Ste 101
San Diego, CA 92111-3743
Phone (858) 264-1434
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 299545 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complete Care Physical Therapy | Physical Therapist | Current | Accepting new patients |
| MDRS Spine & Sport, Inc | Physical Therapist | Current | Accepting new patients |
| Complete P T Pool and Land Physical Therapy Inc | Current | Accepting new patients | |
| California Luna Care Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| MDRS Spine & Sport, Inc | Physical Therapist | Current | Accepting new patients |
Locations
450 Rosewood Ave
Ste 105
Camarillo, CA 93010
Phone (805) 389-4781
1020 Tierra del Rey
Ste A1
Chula Vista, CA 91910
Phone (619) 585-7104
14150 Culver Dr
Ste 103
Irvine, CA 92604
Phone (949) 262-9142
3283 Motor Ave
Los Angeles, CA 90034
Phone (310) 559-6900
16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108
9852 Business Park Dr
Ste A
Sacramento, CA 95827
Phone (916) 362-7962
3760 Convoy St
Ste 100
San Diego, CA 92111
Phone (858) 264-1434
3760 Convoy St
Ste 101
San Diego, CA 92111
Phone (858) 264-1434
1801 Cleveland Ave
Ste B
Santa Rosa, CA 95401
Phone (707) 526-4180
Organizations & group practices 5
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.
-
- Physical Therapist
- Los Gatos, CA
- NPI 1689162166
-
- Physical Therapy Clinic/Center
- Los Angeles, CA
- NPI 1639331770
-
- Multi-Specialty Clinic/Center
- San Diego, CA
- NPI 1952394603
Physical Therapist
-
- Physical Therapist
- Temecula, CA
- NPI 1689824203
-
- Physical Therapist
- Ooltewah, TN
- NPI 1669554325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609286400000",
"number": "1902493364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3760 CONVOY ST STE 101",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921113743",
"telephone_number": "858-264-1434",
"fax_number": "858-751-0901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3760 CONVOY ST STE 100",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921113743",
"telephone_number": "858-573-9368",
"fax_number": "858-874-0582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN KK",
"first_name": "MUHAMMAD",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-30",
"last_updated": "2020-12-30",
"certification_date": "2020-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "299545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.