NPIMap

Individual provider Active NPI

Salman Ahmed Khan, M.D

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1952530800
Registry record updated Feb 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A108834 Issued in CA
Practice address
1701 E Cesar Chavez Avenue
Suite #306
Los Angeles, CA 90033-2475
Phone
(323) 225-2550
Fax
(323) 225-2597
NPI assigned
Jul 13, 2009
Last updated
Feb 26, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A108834 CA Primary

Addresses

Primary practice location

1701 E Cesar Chavez Avenue
Suite #306
Los Angeles, CA 90033-2475

Mailing address

1701 E Cesar Chavez Avenue
Suite #306
Los Angeles, CA 90033-2475
Phone (323) 225-2550

Other identifiers 1

IdentifierTypeStateIssuer
A108834MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101101000442 CA Practitioner - General PracticePractitioner - Other (Physician) 3678767951 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1701 E Cesar E Chavez Ave
Suite 306
Los Angeles, CA 90033-2475
Phone (323) 225-2550

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A108834CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Top Physicians Inc Internal Medicine CurrentSince Jan 1, 2018 Accepting new patients
Salman Khan, a Medical Corporation Internal Medicine CurrentSince Jun 7, 2010 Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients
White Memorial Medical Center Past Accepting new patients
Ahmc Monterey Park Hospital LP Past Accepting new patients

Locations

1701 E Cesar E Chavez Ave
Ste 305
Los Angeles, CA 90033
Phone (323) 222-0137

1701 E Cesar E Chavez Ave
Ste 306
Los Angeles, CA 90033
Phone (323) 225-2550

375 Huntington Dr
Ste E
San Marino, CA 91108
Phone (626) 403-0348

14624 Sherman Way
Ste 406
Van Nuys, CA 91405
Phone (818) 988-5999

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: salman.khan.1@30857.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1247443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456444800000",
    "number": "1952530800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 E CESAR CHAVEZ AVENUE",
            "address_2": "SUITE #306",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332475",
            "telephone_number": "323-225-2550",
            "fax_number": "323-225-2597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E CESAR CHAVEZ AVENUE",
            "address_2": "SUITE #306",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332475",
            "telephone_number": "323-225-2550",
            "fax_number": "323-225-2597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SALMAN",
        "middle_name": "AHMED",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-13",
        "last_updated": "2016-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A108834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A108834",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.