Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Protiva Shooprova Khan, OD

Individual provider Optometrist · NPI 1902327240

Protiva Shooprova Khan, OD is an Optometry in Mariposa, California. Qualified in 2017, 9 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California and New York.

Years since qualifying
9
Licensed in
CA, NY
In the registry since
2017
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

See every abbreviation used in this directory →

Practice location Address checks out

5192 Hospital Rd
Mariposa, CA 95338
Phone: (209) 742-6144
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 708 W 20th St Ste A, Merced, CA 95340-3697 — (209) 384-2335
  • 1650 Selwyn Ave Apt 1c, Bronx, NY 10457-7628 — (718) 960-2041

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 34680 (CA)
Optometrist Taxonomy 152W00000X · Licence TUV008592-1 (NY)

Record details

NPI number1902327240
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedJune 27, 2017
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026
Mailing address2912 Willowbrook Dr Apt 3, Merced, CA 95348-1301

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount