Individual provider Active NPI

Hammad Khan

  • Interventional Cardiology Physician
  • Upland, CA
National Provider Identifier
1992904395
Registry record updated Sep 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
A92889 Issued in CA
Practice address
685 N 13TH Ave
Ste #11
Upland, CA 91786-4916
Phone
(813) 418-2313
Fax
(909) 946-8700
NPI assigned
Jul 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X A92889 CA Primary
Cardiovascular Disease Physician 207RC0000X A92889 CA

Addresses

Primary practice location

685 N 13TH Ave
Ste #11
Upland, CA 91786-4916

Mailing address

8816 Foothill Blvd
Ste 103-205
Rancho Cucamonga, CA 91730-7199
Phone (813) 418-2313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX, VI3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20101113000029 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8426243619 Reassigns benefits to 1 organization
I20230403002290 TX Practitioner - Interventional Cardiology 8426243619 Reassigns benefits to 1 organization
I20250505002278 VI Practitioner - Interventional Cardiology 8426243619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virgin Island Orthopedics and Sports Medicine P CGroup PAC ID 6608921259, 10 clinicians

Practice addresses (Care Compare)

1042 San Bernardino Rd
Upland, CA 91786-4921
Phone (909) 524-1940

4423 Estate Marys Fancy
Christiansted, VI 00820-5244
Phone (340) 692-5000

685 N 13TH Ave
Upland, CA 91786-4963
Phone (909) 981-8383

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting12
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Native Tribal Health Consortium CurrentSince Mar 21, 2023 Accepting new patients
Virgin Island Orthopedics and Sports Medicine P C CurrentSince May 1, 2025 Accepting new patients
Casa Colina Hospital and Centers for Healthcare Current Accepting new patients
Prohealth Partners a Medical Group Inc Cardiovascular Disease CurrentSince May 1, 2016 Accepting new patients
Prohealth Partners, a Medical Group Cardiovascular Disease Current Accepting new patients
Modern Nuclear, Inc. CurrentSince Jul 16, 2021 Accepting new patients
Prohealth Partners, a Medical Group, Inc. CurrentSince May 1, 2016 Accepting new patients
San Antonio Regional Hospital Past Accepting new patients
Prohealth Partners, a Medical Group, Inc. Past Accepting new patients
Loma Linda University Medical Center Past Accepting new patients

Locations

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

4000 Ambassador Dr
Anchorage, AK 99508
Phone (907) 729-1900

17822 Beach Blvd
Ste 373
Huntington Beach, CA 92647
Phone (714) 848-3333

File 54567
Los Angeles, CA 90074
Phone (310) 491-9060

5450 Jefferson Ave
Ste 2
Ontario, CA 91710
Phone (909) 315-6515

255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127

685 N 13th Ave
Ste 9
Upland, CA 91786
Phone (909) 949-3977

685 N 13th Ave
Ste 11
Upland, CA 91786
Phone (909) 285-6717

685 N 13th Ave
Ste 10
Upland, CA 91786
Phone (909) 981-8383

685 N 13th Ave
Ste 1
Upland, CA 91786
Phone (909) 500-8683

4423 Estate Marys Fancy
Christiansted, VI 00820
Phone (340) 692-5000

9149 Estate Thomas
Ste 104
St Thomas, VI 00802
Phone (340) 714-2845

9149 Estate Thomas
St Thomas, VI 00802
Phone (340) 714-2845

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: clinic.casacolina@direct.casacolina.org
  • Direct secure messaging: casacolina@direct.casacolina.org

Organizations & group practices 10

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.

Hospital & facility affiliations 3

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": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441065600000",
    "number": "1992904395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8816 FOOTHILL BLVD",
            "address_2": "STE 103-205",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917307199",
            "telephone_number": "813-418-2313",
            "fax_number": "909-946-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 N 13TH AVE",
            "address_2": "STE #11",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864916",
            "telephone_number": "813-418-2313",
            "fax_number": "909-946-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "HAMMAD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-16",
        "last_updated": "2015-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A92889",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A92889",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

Verify at the official NPI Registry.