DR. KHALID B KHAN M.D. NPI 1063440840

NPI Information

  • NPI: 1063440840
  • Provider Name: DR. KHALID B KHAN, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • CLIA Number: 05D0547893
  • Address: 13425 INGLEWOOD AVE
    HAWTHORNE, CA
    ZIP 90250
  • Phone: (310) 679-2201

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NPI Details

DR. Khalid B Khan, M.D. is a family medicine in Hawthorne, CA with 39 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Khalid B Khan, M.D. NPI is 1063440840. 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:

13425 INGLEWOOD AVE
HAWTHORNE, CA
ZIP 90250-608
Phone: (310) 679-2201
Fax: (310) 679-4236

The NPI 1063440840 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 CLIA number assigned to this NPI record is 05D0547893 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic (HCPCS:G2012)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Influenza vaccine, quadrivalent, 0.5 ml dosage (HCPCS:90688)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Injection, ketorolac tromethamine, per 15 mg (HCPCS:J1885)

The enumeration date for this NPI number is 6/29/2006 and was last updated on 12/20/2012.

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
1207R00000XInternal MedicineA62486CALIFORNIANo
2208000000XPediatricsA62486CALIFORNIANo
3207Q00000XFamily MedicineA62486CALIFORNIAYes

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
1G68606MEDICARE UPINCALIFORNIA
2WA62486EMEDICARE ID-TYPE UNSPECIFIED
3W19473MEDICARE PINCALIFORNIA

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: 11/21/2025

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