FARAZ ALI KHAN (NPI# 1952542169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952542169 |
Entity Type | Individual |
Full Name | FARAZ ALI KHAN |
Credential | M.D. |
Practice Address |
11370 Anderson St Ste 2100 Loma Linda CA 92354 |
Mailing Address |
11370 Anderson St Ste 2100 Loma Linda CA 92354-3450 |
Practice Telephone | 9095582822 |
Enumeration Date | 2009-03-18 |
Last Update Date | 2018-08-01 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208600000X | Surgery | A156443 | CA | Allopathic & Osteopathic Physicians |
N | 208600000X | Surgery | 4301092787 | MI | Allopathic & Osteopathic Physicians |
N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
A156443 | CA | Allopathic & Osteopathic Physicians |
Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
A156443 | CA | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
37754 Hacker Dr, Sterling Heights, MI 483104064 | 2165348244 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770087850 | Faraz Ali Khan | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Radiology, Albany, NY 12208 | 2018-03-22 |
1073171047 | Faraz Ahmed Khan | Psychiatry & Neurology | 300 68th St Se, Grand Rapids, MI 49548-6927 | 2019-06-04 |
1558924001 | Faraz Ahmed Khan | Student in an Organized Health Care Education/Training Program | 450 Clarkson Ave, Brooklyn, NY 11203-2012 | 2019-04-19 |
1174013668 | Faraz Khan | Family Medicine | 7531 S Stony Island Ave, Chicago, IL 60649-3993 | 2018-05-10 |
1427582543 | Faraz Ahmed Khan | Student in an Organized Health Care Education/Training Program | 1836 South Ave, La Crosse, WI 54601-5429 | 2017-04-14 |
1417368325 | Faraz Khan | Internal Medicine | 166 Waterbury Rd, Prospect, CT 06712-1200 | 2014-05-13 |
1235558313 | Faraz Khan | Family Medicine | 9449 Imperial Hwy, Downey, CA 90242-2814 | 2014-04-15 |
1770559957 | Faraz M Khan | Internal Medicine | 1415 La Concha Ln, Houston, TX 77054-1801 | 2006-02-27 |
1790776771 | Faraz Khan | Radiology | 1415 North Loop W, Suite 820, Houston, TX 77008-1664 | 2005-10-31 |
Street Address |
11370 ANDERSON ST STE 2100 |
City | LOMA LINDA |
State | CA |
Zip Code | 92354 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821084070 | Gregory Elton Saunders | Surgery | 11370 Anderson St Ste 2100, Loma Linda, CA 92354-3450 | 2005-09-23 |
1164088787 | Andrea Kottlowski | Audiologist | 11370 Anderson St Ste 2100, Loma Linda, CA 92354-3450 | 2019-05-20 |
1881161511 | Garrett Newman | Nurse Practitioner | 11370 Anderson St Ste 2100, Loma Linda, CA 92354-3450 | 2018-10-31 |
1902355589 | Fabrizio Luca | Surgery | 11370 Anderson St Ste 2100, Loma Linda, CA 92354 | 2016-09-23 |
1346642840 | Ashley Page | Audiologist | 11370 Anderson St Ste 2100, Loma Linda, CA 92354-3450 | 2014-09-16 |
1235546847 | Amanda Nicole Lane | Audiologist | 11370 Anderson St Ste 2100, Loma Linda, CA 92354-3450 | 2014-07-15 |
1144667023 | Whitney Alyssa Mast | Audiologist | 11370 Anderson St Ste 2100, Loma Linda, CA 92354-3450 | 2013-05-31 |
1932412525 | Tracey S. Pae | Nurse Practitioner | 11370 Anderson St Ste 2100, Loma Linda, CA 92354-3450 | 2010-07-23 |
1316174733 | Baishakhi Choudhury | Otolaryngology | 11370 Anderson St Ste 2100, Loma Linda, CA 92354 | 2009-06-11 |
1194950196 | Aarthy Kannappan | Surgery | 11370 Anderson St Ste 2100, Loma Linda, CA 92354-3450 | 2009-05-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588264337 | Apple Red Nutrition Services | Dietitian, Registered | 357 W. 2nd St, Suite #2, Loma Linda, CA 92354 | 2020-10-30 |
1013517960 | Kristina Pulliam Markey | Nurse Practitioner | 11234 Anderson Strreet, Loma Linda, CA 92354 | 2020-10-29 |
1932725645 | Dev Priya Singhvi | Student in an Organized Health Care Education/Training Program | 11332 Mountain View Avenue, Westerly Building, Suite C, Gme Office, Loma Linda, CA 92354 | 2020-06-18 |
1750901278 | Angela N Torres | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Emergency Medicine, 11234 Anderson Street, Loma Linda, CA 92354 | 2020-04-24 |
1548899230 | Holistic Physical Therapy Inc. | Physical Therapist | 25003 Starr Str, Loma Linda, CA 92354 | 2020-04-03 |
1508494071 | Eric Allen | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Pediatrics, General, 11234 Anderson Street, Loma Linda, CA 92354 | 2020-03-31 |
1730640244 | Rose Valley Rcfe | Assisted Living Facility | 11574 Poplar St, Loma Linda, CA 92354 | 2019-03-27 |
1336633676 | David A Lawrence | Student in an Organized Health Care Education/Training Program | Loma Linda University Hospital, 11234 Anderson St., Loma Linda, CA 92354 | 2018-06-20 |
1205329547 | Rachael Nicole Spady | Student in an Organized Health Care Education/Training Program | Loma Linda University Health - Obstetrics & Gynecology, 11234 Anderson St, Loma Linda, CA 92354 | 2018-06-12 |
1447756069 | Anthony Ernest Sanchez | Otolaryngology | 11332 Mountain View, Westerly Building Suite C, Loma Linda, CA 92354 | 2018-04-03 |
Find all providers in zip 92354 |
Taxonomy Code | 2086S0120X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Pediatric Surgery |
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497741417 | Venkatraman Sadanand | Surgery | 25455 Barton Rd Ste 108a, Loma Linda, CA 92354-3139 | 2005-09-26 |
1255446100 | Edward Tagge | Surgery | 11370 Anderson St, Suite 2100, Loma Linda, CA 92354-3450 | 2006-08-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629560149 | Norcal Pediatric Surgical Partners | Surgery | 21c Orinda Way # 276, Orinda, CA 94563-2534 | 2018-05-31 |
1598137291 | Pasadena Pediatric Surgery, Inc. | Surgery | 625 S Fair Oaks Ave Ste 286, Pasadena, CA 91105-2613 | 2015-10-21 |
1205121704 | Bindi Naik-mathuria | Surgery | 7512 Hampton Ave, West Hollywood, CA 90046-5503 | 2011-06-13 |
1295053437 | Ashley Walther | Surgery | 4650 W Sunset Blvd # Ms 100, Los Angeles, CA 90027 | 2010-05-12 |
1881918407 | R V Daluvoy Md Inc | Surgery | 908 East Main St, Barstow, CA 92311-2406 | 2010-03-25 |
1215162607 | James Pierce | Surgery | 9300 Valley Childrens Pl # Ge01, Madera, CA 93636-8761 | 2009-05-28 |
1790921641 | Clinica Medica Del Valle, Inc. | Surgery | 52-565 Harrison Street, Suite 104, Coachella, CA 92236-1534 | 2008-12-24 |
1225298870 | Payam Saadai | Surgery | 2221 Stockton Blvd, 3rd Floor, Uc Davis Medical Center, Sacramento, CA 95817-1418 | 2008-06-16 |
1396916524 | Erin Brown | Surgery | 2425 Stockton Blvd Shriners Hospital for Children, Sacramento, CA 95817-2215 | 2008-03-15 |
1124203872 | Children's Hospital Los Angeles Medical Group | Surgery | 4650 W Sunset Blvd # 72, Los Angeles, CA 90027-6062 | 2007-12-31 |
Find all providers with the same taxonomy |
City | LOMA LINDA |
Zip Code | 92354 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.