Active NPI
Sina Khaksar, MD
- Family Medicine Physician
- Ventura, CA
National Provider Identifier
1124716212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A198615
- Practice address
- 300 Hillmont Ave Ste 120
Ventura, CA 93003-1651 - Phone
- (805) 652-6228
- NPI assigned
- Apr 26, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A198615 | CA | Primary |
Addresses
Primary practice location
300 Hillmont Ave Ste 120
Ventura, CA 93003-1651
Mailing address
2499 E Lakeshore Dr., Lake Elsinore, Ca 92530
Riverside, CA 92530
Phone (951) 471-4200
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
- Family Practice
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1885 FM
2673 Unit 146
Canyon Lake, TX 78133
800 S Victoria Ave
L4640
Ventura, CA 93009-0002
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
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.
-
- General Acute Care Hospital
- Ventura, CA
- NPI 1629167457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787270400000",
"number": "1124716212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2499 E LAKESHORE DR., LAKE ELSINORE, CA 92530",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "92530",
"telephone_number": "951-471-4200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 HILLMONT AVE STE 120",
"city": "VENTURA",
"state": "CA",
"postal_code": "930031651",
"telephone_number": "805-652-6228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAKSAR",
"first_name": "SINA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-04-26",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A198615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; 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.