Individual provider Active NPI

Sara Khandan, MD

  • Ophthalmology Physician
  • Chula Vista, CA
National Provider Identifier
1063850808
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A155828 Issued in CA
Practice address
835 Third Ave Ste a
Chula Vista, CA 91911-1352
Phone
(619) 425-7755
Fax
(619) 425-2138
NPI assigned
Jun 13, 2013
Last updated
Aug 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301102993 MI
Ophthalmology Physician 207W00000X ME131493 FL
Ophthalmology Physician 207W00000X A155828 CA Primary

Addresses

Primary practice location

835 Third Ave Ste a
Chula Vista, CA 91911-1352

Mailing address

835 Third Ave Ste a
Chula Vista, CA 91911-1352
Phone (619) 425-7755

Other practice location 1

7101 Fairway Dr
Palm Beach Gardens, FL 33418-3701
Phone (561) 515-1500

Other practice location 2

7101 Fairway Dr
Palm Beach Gardens, FL 33418-3701
Phone (561) 515-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180604002756 CA Practitioner - Ophthalmology 0547491474 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A155828CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inland Eye Specialists a Medical Corp Ophthalmology CurrentSince Jun 1, 2018 Accepting new patients
University of Miami Past Accepting new patients

Locations

521 E Elder St
Ste 102
Fallbrook, CA 92028
Phone (760) 728-5728

25395 Hancock Ave
Ste 100
Murrieta, CA 92562
Phone (951) 696-5388

Interoperability endpoints

  • Direct secure messaging: sara.khandan.d1.p3@direct.inlandeyespecialists.nextgenshare.com
  • Direct secure messaging: sara.khandan.d1.p8@direct.inlandeyespecialists.nextgenshare.com
  • Direct secure messaging: sara.khandan.p4@direct.inlandeyespecialists.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1063850808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 THIRD AVE STE A",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919111352",
            "telephone_number": "619-425-7755",
            "fax_number": "619-425-2138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 THIRD AVE STE A",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919111352",
            "telephone_number": "619-425-7755",
            "fax_number": "619-425-2138"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7101 Fairway Dr",
            "address_purpose": "LOCATION",
            "city": "Palm Beach Gardens",
            "state": "FL",
            "postal_code": "334183701",
            "country_code": "US",
            "telephone_number": "561-515-1500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7101 Fairway Dr",
            "address_purpose": "LOCATION",
            "city": "Palm Beach Gardens",
            "state": "FL",
            "postal_code": "334183701",
            "country_code": "US",
            "telephone_number": "561-515-1500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHANDAN",
        "first_name": "SARA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-13",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301102993",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME131493",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A155828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.