DR. OMAR AHMED KHAN DNP, APRN, PMHNP-BC
NPI 1629308135
Nurse Practitioner - Psychiatric/Mental Health in Inglewood, CA

Q: What is Omar Khan's NPI number?

The NPI number for Omar Khan is 1629308135. It was assigned to this individual provider in the NPPES registry on January 5, 2010.

Q: What is Omar Khan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Omar Khan was last updated on January 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 05, 2010PECOS EnrolledAccepts Medicare Assignment

323 N PRAIRIE AVE, INGLEWOOD, CA 90301(310) 846-2100 Get Directions Write a Review

NPPES record last updated: January 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 2, 2025, Jun 5, 2023, Nov 18, 2021 and 5 more (8 updates tracked since 2018).

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About Dr. Omar Ahmed Khan Dnp, Aprn, Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. OMAR AHMED KHAN DNP, APRN, PMHNP-BC (NPI 1629308135) is an individual psychiatric/mental health provider in Inglewood, California, licensed in California (95008495) and active in the NPI registry since January 2010. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1629308135

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameDR. OMAR AHMED KHANCredential: DNP, APRN, PMHNP-BC

Location Address323 N PRAIRIE AVEInglewood, CA 90301-4502

Mailing Address4760 Sepulveda BlvdCulver City, CA 90230-4820 · (310) 390-6612 · Fax (310) 398-5690

Phone(310) 846-2100

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJanuary 5, 2010

Last NPPES UpdateJanuary 2, 20258 updates tracked since enumeration

NPPES CertifiedJanuary 2, 2025

✔ NPI 1629308135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in CA · 95008495✔ Licensed in CO · APN.0995819-NP

Also ListedRegistered NurseTaxonomy 163W00000X · License 851513 (CA)

323 N PRAIRIE AVE, Inglewood, CA 90301

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Secondary Practice Locations 2

Location 14760 Sepulveda BlvdCulver City, CA 90230-4820 · Phone (310) 390-6612 · Fax (310) 398-5690

Location 21465 Kelly Johnson Blvd Ste 305Colorado Springs, CO 80920-3947 · Phone (719) 495-3359 · Fax (719) 691-7003

Other Identifiers 1

Medicaid9000193312CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Omar Ahmed Khan Dnp, Aprn, Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395008346

PECOS Enrollment IDI20180404002420

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

34 services22 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

32 services25 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

14 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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