Rehan Khan, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA17347 Issued in CA

Practice address

1850 Sullivan Ave
Suite 330
Daly City, CA 94015-2223

Phone

(650) 756-5630

Fax

(650) 756-0136

NPI assigned

Aug 1, 2006

Last updated

Dec 15, 2009By 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 1

Addresses

Other identifiers 2

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peninsula Orthopedic Associates IncGroup PAC ID 7719974336, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: peninsulaorthopedicassociates.rehankhan@156663.advancedmd-direct.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.

• Peninsula Orthopedic Associates, Inc.

  • Orthopaedic Surgery Physician
  • Daly City, CA
  • NPI 1154464329
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260835200000",
    "number": "1942216569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 SULLIVAN AVE",
            "address_2": "SUITE 330",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152223",
            "telephone_number": "650-746-3236",
            "fax_number": "650-994-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 SULLIVAN AVE",
            "address_2": "SUITE 330",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152223",
            "telephone_number": "650-756-5630",
            "fax_number": "650-756-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "REHAN",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2009-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA17347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PTAN",
            "identifier": "P00716856",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC GROUP",
            "identifier": "0208450001",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaila Kennard
• Kenneth Hovden DDS Inc
• Kenneth S Yamamoto MD a Medical Corp
• Hannah Isabel Kesten
• Aman Shabi Khan, MD
• Shaista Khanoon
• Ye Khant
• Nirmal Kharel, MD
• Isam Hanna Khoury, D.M.D.
• Mona Khoury

• Physician Assistant in Daly City, CA
• Providers in Daly City, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; 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.