Individual provider Active NPI

Fazila Khwaja, PA

  • Physician Assistant
  • Sacramento, CA
National Provider Identifier
1093555773
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
64547 Issued in CA
Practice address
8191 Timberlake Way Ste 400
Sacramento, CA 95823-5419
Phone
(916) 688-8888
Fax
(916) 688-8837
NPI assigned
May 29, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 64547 CA Primary

Addresses

Primary practice location

8191 Timberlake Way Ste 400
Sacramento, CA 95823-5419

Mailing address

8191 Timberlake Way Ste 400
Sacramento, CA 95823-5419
Phone (916) 688-8888

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241024002415 CA Practitioner - Physician Assistant 6204369572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Snar IncGroup PAC ID 4486958162, 4 clinicians

Practice addresses (Care Compare)

8191 Timberlake Way
Suite 400
Sacramento, CA 95823-5419
Phone (714) 612-9977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
64547CAMDPharmacist

Interoperability endpoints

  • Direct secure messaging: fkhwaja689169@hisp.ehr.sutterhealth.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1093555773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8191 TIMBERLAKE WAY STE 400",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235419",
            "telephone_number": "916-688-8888",
            "fax_number": "916-688-8837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8191 TIMBERLAKE WAY STE 400",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235419",
            "telephone_number": "916-688-8888",
            "fax_number": "916-688-8837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHWAJA",
        "first_name": "FAZILA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "64547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.