Active NPI
Shazah Khawaja, MD
- Obstetrics & Gynecology Physician
- Santa Rosa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- C55816
- Practice address
- 900 Sonoma Ave Ste 18
Santa Rosa, CA 95404-4804 - Phone
- (707) 579-1102
- Fax
- (707) 579-1386
- NPI assigned
- Jul 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 239820 | NY | |
| Obstetrics & Gynecology Physician | 207V00000X | 048447 | CT | |
| Obstetrics Physician | 207VX0000X | 25MA08177000 | NJ | |
| Obstetrics & Gynecology Physician | 207V00000X | C55816 | CA | Primary |
Addresses
Primary practice location
900 Sonoma Ave Ste 18
Santa Rosa, CA 95404-4804
Mailing address
900 Sonoma Ave Ste 18
Santa Rosa, CA 95404-4804
Phone (707) 579-1102
Other practice location 1
20642 John Dr
Castro Valley, CA 94546-5103
Phone (510) 581-2559
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25MA08177000 | Other | NJ | LICENSE |
| 048447 | Other | CT | LICENSE |
| D09013100 | Other | NJ | CDS |
| 239820 | Other | NY | LICENSE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1999
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1208 King St
Suite 500
Chattanooga, TN 37403-4352
200 W Martin Luther King Blvd
Suite 1068
Chattanooga, TN 37402-2560
2637 Shadelands Dr
Walnut Creek, CA 94598-2512
3536 Mendocino Ave
Suite 200
Santa Rosa, CA 95403-3612
500 Pasteur Dr
FL 3
Palo Alto, CA 94304-1048
File
Suite 50978
Los Angeles, CA 90074-0978
Hospital & facility affiliations
- Healdsburg Hospital
- Providence Santa Rosa Memorial Hospital
- California Pacific Medical Ctr-Davies Campus Hosp
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.9 of 100
- Quality
- 81.89
- Promoting interoperability
- 99
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55816 | CA | MD | Dentist |
| C55816 | CA | MD | Obstetrics & Gynecology Physician |
| 048447 | CT | MD | Obstetrics & Gynecology Physician |
| 239820 | NY | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Khawaja MD Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Norcal Healthconnect LLC | Current | Accepting new patients | |
| Obhg California, P.C. | Obstetrics & Gynecology | Current | Accepting new patients |
| University Healthcare Alliance | Obstetrics & Gynecology | Current | Accepting new patients |
| Norcal Healthconnect LLC | Current | Accepting new patients | |
| Norcal Healthconnect LLC | Current | Accepting new patients | |
| Norcal Healthconnect LLC | Current | Accepting new patients | |
| Humc Opco LLC | Past | Accepting new patients | |
| North Sonoma County Health Care District | Past | Accepting new patients | |
| Hamilton OB GYN Associates PA | Obstetrics & Gynecology | Past | Accepting new patients |
| St. Mary'S Hospital | Past | Accepting new patients | |
| Robert Wood Johnson University Hospital, Inc | Past | Accepting new patients | |
| Robert Wood Johnson University Hospital at Hamilton | Obstetrics & Gynecology | Past | Accepting new patients |
| North Sonoma County Health Care District | Past | Accepting new patients | |
| Janet Rustia | Past | Accepting new patients | |
| Monmouth Medical Center Inc | Past | Accepting new patients | |
| St. Joseph Health Northern California, LLC | Past | Accepting new patients | |
| Providence Medical Foundation | Obstetrics & Gynecology | Past | Accepting new patients |
| Affinity Medical Group | Past | Accepting new patients | |
| Sutter Bay Hospitals | Past | Accepting new patients | |
| Bass Medical Group | Past | Accepting new patients | |
| Sutter Bay Hospitals | Past | Accepting new patients | |
| Comprehensive Womens Healthcare | Past | Accepting new patients |
Locations
50 E Hamilton Ave
Ste 280
Campbell, CA 95008
Phone (408) 227-2646
20642 John Dr
Castro Valley, CA 94546
Phone (510) 581-2559
1375 University St
Healdsburg, CA 95448
Phone (707) 385-2025
1312 Prentice Dr
Healdsburg, CA 95448
Phone (707) 433-3383
1600 W Avenue J
Lancaster, CA 93534
Phone (661) 726-6254
1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555
1300 Crane St
Menlo Park, CA 94025
Phone (510) 785-5000
100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445
110 Lynch Creek Way
#B
Petaluma, CA 94954
Phone (707) 522-4348
4725 1st St
Ste 100
Pleasanton, CA 94566
Phone (925) 462-7060
400 W Pueblo St
Santa Barbara, CA 93105
Phone (805) 569-7279
1165 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 525-5300
990 Sonoma Ave
Ste 18
Santa Rosa, CA 95404
Phone (707) 575-9009
1010 Murray Ave
Sn Luis Obisp, CA 93405
Phone (805) 546-7600
Interoperability endpoints
- shazah.khawaja.1@22246.direct.athenahealth.com
- skhawaja208928@hisp.ehr.sutterhealth.org
Organizations & group practices 24
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Critical Access Hospital
- Healdsburg, CA
- NPI 1295342012
-
- Multi-Specialty Clinic/Center
- Healdsburg, CA
- NPI 1720695547
-
- Critical Access Hospital
- Healdsburg, CA
- NPI 1861009672
-
- Internal Medicine Physician
- Newark, CA
- NPI 1760531198
Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Santa Rosa, CA
- NPI 1902422280
-
- Maternal & Fetal Medicine Physician
- Long Beach, CA
- NPI 1376640086
-
- General Acute Care Hospital
- Petaluma, CA
- NPI 1235162645
-
- Case Manager/Care Coordinator
- Foster City, CA
- NPI 1689708042
-
- Specialist
- Walnut Creek, CA
- NPI 1154401941
-
- Medicare Defined Swing Bed Hospital Unit
- Healdsburg, CA
- NPI 1043308539
-
- Skilled Nursing Facility
- Healdsburg, CA
- NPI 1952487159
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Healdsburg, CA
- NPI 1861009672
-
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1134152549
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1659439834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750032000000",
"number": "1083636450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 SONOMA AVE STE 18",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954044804",
"telephone_number": "707-579-1102",
"fax_number": "707-579-1386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 SONOMA AVE STE 18",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954044804",
"telephone_number": "707-579-1102",
"fax_number": "707-579-1386"
}
],
"practiceLocations": [
{
"address_1": "20642 John Dr",
"address_purpose": "LOCATION",
"city": "Castro Valley",
"state": "CA",
"postal_code": "945465103",
"country_code": "US",
"telephone_number": "510-581-2559",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHAWAJA",
"first_name": "SHAZAH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-24",
"last_updated": "2025-06-16",
"certification_date": "2025-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "239820",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CT",
"license": "048447",
"primary": false
},
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "NJ",
"license": "25MA08177000",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "C55816",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "25MA08177000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "048447",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDS",
"identifier": "D09013100",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "239820",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.