Mohammad A Khan, M.D.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

C137550 Issued in CA

Practice address

10694 Magnolia Ave
Riverside, CA 92505-1816

Phone

(951) 335-5461

Fax

(951) 335-5267

NPI assigned

Jul 29, 2005

Last updated

May 15, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, CA2 enrollments

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 2

Specialty

Pain ManagementAlso: Anesthesiology

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Southern California Spine and Sport Medical Associates IncGroup PAC ID 7810896768, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17238/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• Direct secure messaging: mkhan@scsasmai-ca.direct.office.nextgen.com

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.

• Southern California Spine and Sport Medical Associates, Inc

  • Pain Medicine (Anesthesiology) Physician
  • Newport Beach, CA
  • NPI 1902800543
  Medicare reassignment Care Compare group NPD
• Mohammad a Khan MD Inc

  dba Advanced Interventional Pain Center

  • Pain Medicine (Anesthesiology) Physician
  • Riverside, CA
  • NPI 1366019846
  Medicare reassignment Authorized official
• Edward Health Ventures

  • Multi-Specialty Clinic/Center
  • Bolingbrook, IL
  • NPI 1962452912
  Medicare reassignment NPD
• Honor Pain Clinic PC

  • Pain Medicine (Anesthesiology) Physician
  • Riverside, CA
  • NPI 1710875356
  Authorized official Same address or phone
• Cornerstone Surgery Center & Anesthesia Nursing Services Inc.

  dba Cornerstone Surgery Center Inc.

  • Ambulatory Surgical Clinic/Center
  • Riverside, CA
  • NPI 1952809865
  NPD
• Edward Health Ventures

  • Neurological Surgery Physician
  • Naperville, IL
  • NPI 1396976445
  NPD
• Chapman Medical Center Inc

  dba Chapman Medical Center

  • Institutional Pharmacy
  • Orange, CA
  • NPI 1053354308
  NPD (past)
• Hanna Pain Relief Clinics PMC

  dba Ocean Orthopedic and Spine

  • Surgery of the Hand (Surgery) Physician
  • Bakersfield, CA
  • NPI 1093304313

  Pain Medicine

  NPD (past)
• Edward Health Ventures

  dba Edward Medical Group

  • Internal Medicine Physician
  • Naperville, IL
  • NPI 1790735744
  NPD (past)
• Guardian Anesthesia Associates, S.C

  • Interventional Pain Medicine Physician
  • Aurora, IL
  • NPI 1326097221

  Anesthesiology

  NPD (past)
• La Porte County Anesthesia Associates LLC

  • Anesthesiology Physician
  • Michigan City, IN
  • NPI 1477553634
  NPD (past)

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

• Hoag Memorial Hospital Presbyterian

  • General Acute Care Hospital
  • Newport Beach, CA
  • NPI 1518951300
  Care Compare affiliation

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1922008143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10694 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925051816",
            "telephone_number": "951-335-5461",
            "fax_number": "951-335-5468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10694 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925051816",
            "telephone_number": "951-335-5461",
            "fax_number": "951-335-5267"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2664 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908062711",
            "country_code": "US",
            "telephone_number": "310-792-3914",
            "fax_number": "855-898-4055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MOHAMMAD",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "C137550",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": "036101678",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IN",
            "license": "01057031A",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "C137550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annum Khan
• Asma Khan, MPH, RD
• Baseer M Khan, MD
• Kanza Khan
• Lauren Khan
• Mohammed Q Khan, M.D.
• Naila Ahmad Khan, D.O.
• Pamela Khan
• Ramsha Khan
• Tarube Khan

• Pain Medicine (Anesthesiology) Physician in Riverside, CA
• Providers in Riverside, CA by specialty
• Pain Medicine (Anesthesiology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.