Organization Active NPI

Khandhar Medical Group PC

  • Internal Medicine Physician
  • Yorba Linda, CA
National Provider Identifier
1346192291
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
KHANDHAR MEDICAL GROUP PC
Practice address
22601 La Palma Ave Ste 101a
Yorba Linda, CA 92887-6711
Phone
(949) 667-4325
Fax
(949) 392-8762
NPI assigned
Feb 12, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Authorized official

Name
Shruti Khandhar, DONPI 1205068061
Title
Owner/Practicing Physician
Phone
(949) 667-4325

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

22601 La Palma Ave Ste 101a
Yorba Linda, CA 92887-6711

Mailing address

22601 La Palma Ave Ste 101a
Yorba Linda, CA 92887-6711
Phone (949) 667-4325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260511003124 CA Part B Supplier - Clinic/Group Practice 0648748392 Receives reassigned benefits from 1 practitioner
Practice locations: Yorba Linda, CA

National Provider Directory

National Provider Directory

Locations

22601 La Palma Ave
Ste 101A
Yorba Linda, CA 92887
Phone (909) 256-9199

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1770854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770854400000",
    "number": "1346192291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22601 LA PALMA AVE STE 101A",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928876711",
            "telephone_number": "949-667-4325",
            "fax_number": "949-392-8762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22601 LA PALMA AVE STE 101A",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928876711",
            "telephone_number": "949-667-4325",
            "fax_number": "949-392-8762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHANDHAR MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-12",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A",
        "authorized_official_last_name": "KHANDHAR",
        "authorized_official_first_name": "SHRUTI",
        "authorized_official_title_or_position": "OWNER/PRACTICING PHYSICIAN",
        "authorized_official_telephone_number": "949-667-4325",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorba Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.