Individual provider Active NPI

Shazah Khawaja, MD

  • Obstetrics & Gynecology Physician
  • Santa Rosa, CA
National Provider Identifier
1083636450
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
C55816 Issued in CA
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

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
25MA08177000OtherNJLICENSE
048447OtherCTLICENSE
D09013100OtherNJCDS
239820OtherNYLICENSE

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
I20131114000553 CA Practitioner - Obstetrics/Gynecology 6608975230 Reassigns benefits to 6 organizations

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 Hospital, Healdsburg, CA, CCN 051321
  • Providence Santa Rosa Memorial Hospital Hospital, Santa Rosa, CA, CCN 050174
  • California Pacific Medical Ctr-Davies Campus Hosp Hospital, San Francisco, CA, CCN 050008

Merit-based Incentive Payment System (MIPS)

Final score
91.9 of 100Reported as group
Quality
81.89
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55816CAMDDentist
C55816CAMDObstetrics & Gynecology Physician
048447CTMDObstetrics & Gynecology Physician
239820NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Khawaja MD Inc Obstetrics & Gynecology CurrentSince Aug 12, 2020 Accepting new patients
Norcal Healthconnect LLC Current Accepting new patients
Obhg California, P.C. Obstetrics & Gynecology CurrentSince Jan 1, 2023 Accepting new patients
University Healthcare Alliance Obstetrics & Gynecology CurrentSince Apr 30, 2025 Accepting new patients
Norcal Healthconnect LLC CurrentSince Feb 19, 2024 Accepting new patients
Norcal Healthconnect LLC Current Accepting new patients
Norcal Healthconnect LLC CurrentSince Feb 19, 2024 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

  • Direct secure messaging: shazah.khawaja.1@22246.direct.athenahealth.com
  • Direct secure messaging: 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.

View all 24

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.