DR. OMAR AHMED KHAN DNP APRN PMHNP-BC NPI 1629308135

NPI Information

NPI: 1629308135
Provider Name: DR. OMAR AHMED KHAN, DNP, APRN, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
323 N PRAIRIE AVE
INGLEWOOD, CA
ZIP 90301
Phone: (310) 846-2100
Get Directions

DR. Omar Ahmed Khan, DNP, APRN, PMHNP-BC is a psychiatric/mental health nurse practitioner in Inglewood, CA with 7 years of experience. DR. Omar Ahmed Khan, DNP, APRN, PMHNP-BC NPI is 1629308135. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

323 N PRAIRIE AVE
INGLEWOOD, CA
ZIP 90301-502
Phone: (310) 846-2100

The NPI 1629308135 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/5/2010 and was last updated on 6/5/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	95008495	CALIFORNIA	Yes
2	163W00000X	Registered Nurse		851513	CALIFORNIA	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	APN.0995819-NP	COLORADO	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	9000193312	MEDICAID	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »