Individual provider Active NPI

Sara Kajbaf, RN, FNP, PHN, MSN

  • Family Nurse Practitioner
  • Laguna Hills, CA
National Provider Identifier
1215508957
Registry record updated Jul 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95014936 Issued in CA
Practice address
27192 Hidden Trail Rd
Laguna Hills, CA 92653-5809
Phone
(949) 910-6160
NPI assigned
Jul 4, 2021
Last updated
Jul 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 777366 CA
Family Nurse Practitioner 363LF0000X NP95014936 CA Primary

Addresses

Primary practice location

27192 Hidden Trail Rd
Laguna Hills, CA 92653-5809

Mailing address

27192 Hidden Trail Rd
Laguna Hills, CA 92653-5809
Phone (949) 910-6160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
777366CAMDRegistered Nurse
NP95014936CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1625356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625356800000",
    "number": "1215508957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27192 HIDDEN TRAIL RD",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535809",
            "telephone_number": "949-910-6160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27192 HIDDEN TRAIL RD",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535809",
            "telephone_number": "949-910-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAJBAF",
        "first_name": "SARA",
        "credential": "RN, FNP, PHN, MSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-04",
        "last_updated": "2021-07-04",
        "certification_date": "2021-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "777366",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95014936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.