OMAR AHMED KHAN (NPI# 1629308135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629308135 |
| Entity Type | Individual |
| Full Name | OMAR AHMED KHAN |
| Practice Address |
323 N Prairie Ave Inglewood CA 90301-4502 |
| Mailing Address |
4760 Sepulveda Blvd Culver City CA 90230-4820 |
| Practice Telephone | 3108462100 |
| Mailing Telephone | 3103906612 |
| Mailing Fax Number | 3103985690 |
| Enumeration Date | 2010-01-05 |
| Last Update Date | 2018-06-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 851513 | CA | Nursing Service Providers |
| N | 225400000X | Rehabilitation Practitioner | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
95008495 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4760 Sepulveda Blvd, Culver City, CA 902304820 | 3103906612 | 3103985690 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144480310 | Omar T Khan | Internal Medicine | 102 Mary Alice Park Rd Ste 805, Cumming, GA 30040-2664 | 2008-06-11 |
| 1811938491 | Omar A. Khan | Family Medicine | 1309 Veale Rd, Suite 11, Wilmington, DE 19810-4609 | 2006-06-08 |
| 1669031811 | Omar Khan | Psychiatry & Neurology | 1111 6th Ave, Des Moines, IA 50314-2613 | 2019-06-11 |
| 1699338517 | Omar Asad Khan | Internal Medicine | 55 Fruit St, Boston, MA 02114-2696 | 2019-04-16 |
| 1285196030 | Omar Khan | Student in an Organized Health Care Education/Training Program | 1501 Kings Highway, Internal Medicine, Shreveport, LA 71130-3932 | 2019-04-02 |
| 1730617135 | Omar Ahmed Khan | Internal Medicine | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2017-05-30 |
| 1952758609 | Omar Ahmad Khan | Psychiatry & Neurology | 550 1st Ave, Nyu Langone Medical Center, New York, NY 10016 | 2016-05-23 |
| 1104211309 | Omar Khan | Radiology | 55 Fruit St # 210, Boston, MA 02114-2696 | 2015-04-03 |
| 1952728909 | Omar Khan | Pharmacist | 1124 Patton Ave, Asheville, NC 28806-2706 | 2014-03-27 |
| 1972898856 | Omar Ali Khan | Urology | 3020 N Mccord Rd Ste 100, Toledo, OH 43615-1701 | 2011-06-18 |
| Street Address |
323 N PRAIRIE AVE |
| City | INGLEWOOD |
| State | CA |
| Zip Code | 90301-4502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558364711 | Richard Lee Sires | Internal Medicine | 323 N Prairie Ave, Ste 334, Inglewood, CA 90301-4505 | 2005-05-23 |
| 1043853393 | Myung Sun Kim | Case Manager/Care Coordinator | 323 N Prairie Ave, Inglewood, CA 90301-4502 | 2019-10-18 |
| 1568003549 | Yasemin Yahni | Case Manager/Care Coordinator | 323 N Prairie Ave, Inglewood, CA 90301-4502 | 2019-10-01 |
| 1003473943 | Jessica Villafranco | Case Manager/Care Coordinator | 323 N Prairie Ave, Inglewood, CA 90301-4502 | 2019-05-27 |
| 1417514803 | Mariana Silva-nichols | Case Manager/Care Coordinator | 323 N Prairie Ave, Inglewood, CA 90301-4502 | 2019-05-21 |
| 1932763307 | Courtney Patrice Thomas | Counselor | 323 N Prairie Ave, Inglewood, CA 90301-4502 | 2019-04-30 |
| 1346804580 | Christian Eduardo Castro | Case Manager/Care Coordinator | 323 N Prairie Ave, Inglewood, CA 90301-4502 | 2019-04-23 |
| 1780147900 | Veronica Ramirez | Student in an Organized Health Care Education/Training Program | 323 N Prairie Ave, Inglewood, CA 90301 | 2019-04-14 |
| 1871052456 | Stephen Miller | Case Manager/Care Coordinator | 323 N Prairie Ave, Inglewood, CA 90301-4502 | 2019-03-13 |
| 1629534433 | Zenia Centeno | Marriage & Family Therapist | 323 N Prairie Ave, Inglewood, CA 90301-4502 | 2019-02-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548897945 | Genevieve V. Angel | Registered Nurse | 555 East Hardy Street, Director of Cm Sw, Centinela Hospital Medical Center, Inglewood, CA 90301 | 2020-03-25 |
| 1992338552 | Ralph Kevin Roque | Licensed Practical Nurse | 614 W Manchester Blvd, Inglewood, Ca 90301, 104, Inglewood, CA 90301 | 2020-02-21 |
| 1043841562 | Evelyn Jones | Social Worker | 555 E. Hardy Street, Inglewood, Ca, CA 90301 | 2020-02-03 |
| 1447896444 | Coral Dabarera Edelson | Dietitian, Registered | 110 North La Brea Ave, Inglewood, CA 90301 | 2019-11-25 |
| 1821642125 | Jennifer Robert Umoh | Student in an Organized Health Care Education/Training Program | 412 E Florence Avenue, Inglewood, CA 90301 | 2019-07-25 |
| 1821567751 | Esther Voltaire | Behavior Technician | 619 E Arbor Vitae St, Inglewood, CA 90301 | 2018-11-21 |
| 1902372832 | Pool Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 323 North Prairie Ave, Suite 200, Ingelwood, CA 90301 | 2018-10-18 |
| 1174003594 | Xelnt Healthcare Inc. | Clinic/Center | 501 E Hardy St Ste 425, Inglewood, CA 90301 | 2018-08-15 |
| 1710409321 | Rae Shelston Mcintosh | Licensed Vocational Nurse | 1007 Myrth Ave, Inglewood, CA 90301 | 2017-07-14 |
| 1477093789 | Lewis E Logan II | Counselor | 332 N. Prairie Ave., Suite 417, Inglewood, CA 90301 | 2017-03-06 |
| Find all providers in zip 90301 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881247229 | Chiemezie Okonko | Nurse Practitioner | 719 Stepney St, Inglewood, CA 90302-2530 | 2019-07-23 |
| 1003454257 | Advanced Health Preference Group Inc., A Professional Nursing Corporat | Nurse Practitioner | 211 N Prairie Ave, Inglewood, CA 90301-1412 | 2019-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154573 | Marcus Jang | Nurse Practitioner | 1130 E Colorado St Apt 214, Glendale, CA 91205-2092 | 2020-11-04 |
| 1033718580 | John Sylvanus Allieu Sr. | Nurse Practitioner | 2672 Merganser Ct, Los Banos, CA 93635-9473 | 2020-10-25 |
| 1316546930 | Chika U Oguagha | Nurse Practitioner | 16240 Carmine St, Fontana, CA 92336-1481 | 2020-10-23 |
| 1215534888 | Rosa Maria Aguero | Nurse Practitioner | 9841 Alburtis Ave Unit 29, Santa Fe Springs, CA 90670-3264 | 2020-10-06 |
| 1134726995 | Margarita Maghtesyan | Nurse Practitioner | 20251 Ventura Blvd Ste A, Woodland Hills, CA 91364-2564 | 2020-10-05 |
| 1043827140 | April Lopez Ortiz | Nurse Practitioner | 500 W Ashland Ct, Visalia, CA 93277-6609 | 2020-09-23 |
| 1477167666 | David Joseph Russell | Nurse Practitioner | 17846 Glenwood Rd, Manteca, CA 95336-9521 | 2020-09-03 |
| 1194339382 | Albert Liu | Nurse Practitioner | 43559 Southerland Way, Fremont, CA 94539-5931 | 2020-09-03 |
| 1407469554 | Andre Alexandrian | Nurse Practitioner | 1606 Winona Ave, Burbank, CA 91504-2823 | 2020-08-28 |
| 1790398238 | Heather Richardson | Nurse Practitioner | 112 S Park St Ste 1, San Francisco, CA 94107-1809 | 2020-08-25 |
| Find all providers with the same taxonomy | ||||
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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.