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
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 323 N PRAIRIE AVE
    INGLEWOOD, CA
    ZIP 90301
  • Phone: (310) 846-2100

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NPI Details

DR. Omar Ahmed Khan, DNP, APRN, PMHNP-BC is a psychiatric/mental health nurse practitioner in Inglewood, CA with 8 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 1/2/2025.

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
1163W00000XRegistered Nurse851513CALIFORNIANo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthAPN.0995819-NPCOLORADONo
3363LP0808XNurse PractitionerPsychiatric/Mental Health95008495CALIFORNIAYes

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
19000193312MEDICAIDCOLORADO

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: 3/30/2025

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