MAYSUN KHAN (LCSW) – Clinical Social Worker, NPI 1033519632

MAYSUN KHAN (LCSW) is a healthcare provider. based in San diego, California. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 71910 (CA). The NPI Number for MAYSUN KHAN (LCSW) is 1033519632

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
MAYSUN KHAN (LCSW)
NPI
1033519632
Phone
(619) 233-3432
Address
1963 4TH AVE
Enumeration Date
2 September 2014
Last Update Date
2 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6195152444
Graduation Year
2016 (10 years ago)
PAC ID
6305265869
Group Practice PAC ID
3476446378
Professional Enrollment ID
I20201001002912
Address ID
CA921097104SA3705XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:11State licenses:2Digital endpointsOther names

4,987 CLINICAL SOCIAL WORKER in CA

Provider Addresses for MAYSUN KHAN (LCSW)

  • 1963 4TH AVE

    SAN DIEGO, CA 921012394

    Phone: (619) 233-3432

    Type: Mailing

  • 333 H St Ste 2010

    Chula Vista, CA 919105556

    Phone: (619) 906-5435

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-10-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201001002912IClinical Social WorkerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92101)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476446378View full group profile
NameSpecialtyState
Internal Medicine, Pediatric MedicineCA
O B S T E T R I C S/ G Y N E C O L O G YNV
Family PracticeIL
Family PracticeCA
Sports Medicine, Physical Medicine And RehabilitationCA
Physician AssistantTX
P S Y C H I A T R YNJ
-CA
-MA
-CA

Reviews

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Frequently asked questions

What is MAYSUN KHAN (LCSW)'s NPI number?
MAYSUN KHAN (LCSW)'s NPI is 1033519632 — the number used across U.S. healthcare to identify this provider.
Would MAYSUN KHAN (LCSW) appear as active to a payer?
You can treat MAYSUN KHAN (LCSW) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with MAYSUN KHAN (LCSW)?
MAYSUN KHAN (LCSW)'s record emphasizes Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is MAYSUN KHAN (LCSW) located near San Diego?
MAYSUN KHAN (LCSW) currently maps to San Diego, California in this extract.
Can I trust this NPI listing for MAYSUN KHAN (LCSW)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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