Nasha Nasim Sabery Khavari, MD
Individual provider Active NPI Pediatric Transplant Hepatology Physician · Palo Alto, CA
NPI 1104873199 · NPPES record last updated Apr 10, 2024
Key facts
- NPI
- 1104873199
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Transplant Hepatology Physician 2080T0004X
- License
- A88023 (CA)
- Practice address
- 725 Welch Rd
Palo Alto, CA 94304-1601 - Phone
- (650) 497-8000
- NPI assigned
- May 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090820000907 | CA | Practitioner - Pediatric Medicine |
4688728983 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 227467 | MA | MD | Pediatrics Physician |
| A88023 | CA | MD | Pediatric Transplant Hepatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stanford Health Care | Pediatrics | Current | Accepting new patients |
| Stanford Health Care | Pediatrics | Current |
Accepting new patients |
| Stanford Health Care | Current |
Accepting new patients | |
| LPCH Medical Group Div of Lucile | Pediatrics | Current |
Accepting new patients |
| Stanford Hospital and Clinics | Past | Accepting new patients | |
| Lucile Salter Packard Children'S Hospital at Stanford | Past | Accepting new patients |
Locations
730 Welch Rd
Palo Alto, CA 94304
Phone (650) 723-4800
725 Welch Rd
#D
Palo Alto, CA 94304
750 Welch Rd
Palo Alto, CA 94304
Phone (650) 369-5811
725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979
505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058
400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000
751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110
750 S Bascom Ave
#1112
San Jose, CA 95128
300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 227467 | MA | |
| Pediatric Gastroenterology Physician | 2080P0206X | A88023 | CA | |
| Pediatric Transplant Hepatology Physician | 2080T0004X | A88023 | CA | Yes |
Addresses
Primary practice location
725 Welch Rd
Palo Alto, CA 94304-1601
Mailing address
725 Welch Rd
Palo Alto, CA 94304-1601
Phone (650) 497-8000
Other providers in Palo Alto, CA
- Shaista Younus Khan
- Kishore B Khankari
- Shweta Khankari
- Niloufar Khanna
- Ramsey Khasho
- Ingin Kay Khine
- Amparo Maglaya Khorana
- Rohit Kumar Khosla
- Melody Khosravi
- Oula Khoury
All providers in Palo Alto, CA · Pediatric Transplant Hepatology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.