Active NPI
Jennifer Khoshafian, NP-C
- Nurse Practitioner
- Huntington Beach, CA
National Provider Identifier
1295567592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95001251
- Practice address
- 7755 Center Ave Ste 630
Huntington Beach, CA 92647-9152 - Phone
- (877) 564-3627
- NPI assigned
- Aug 15, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95001251 | CA | Primary |
Addresses
Primary practice location
7755 Center Ave Ste 630
Huntington Beach, CA 92647-9152
Mailing address
301 W Grandview Ave
Sierra Madre, CA 91024-1727
Phone (626) 484-5329
Other practice location 1
17500 Red Hill Ave
Irvine, CA 92614-5645
Phone (949) 222-6454
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723680000000",
"number": "1295567592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 W GRANDVIEW AVE",
"city": "SIERRA MADRE",
"state": "CA",
"postal_code": "910241727",
"telephone_number": "626-484-5329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7755 CENTER AVE STE 630",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926479152",
"telephone_number": "877-564-3627"
}
],
"practiceLocations": [
{
"address_1": "17500 Red Hill Ave",
"address_purpose": "LOCATION",
"city": "Irvine",
"state": "CA",
"postal_code": "926145645",
"country_code": "US",
"telephone_number": "949-222-6454",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHOSHAFIAN",
"first_name": "JENNIFER",
"name_prefix": "Mrs.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-15",
"last_updated": "2024-08-15",
"certification_date": "2024-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95001251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.