Active NPI
Khashayar Sarabi, M.D.
- General Practice Physician
- Irvine, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A105478
- Practice address
- 250 E Yale Loop Ste E
Irvine, CA 92604-4697 - Phone
- (310) 893-3884
- NPI assigned
- Jul 6, 2007
- Last updated
- Nov 11, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | A105478 | CA | Primary |
Addresses
Primary practice location
250 E Yale Loop Ste E
Irvine, CA 92604-4697
Mailing address
1512 Treasure LN
Santa Ana, CA 92705-2463
Phone (310) 893-3884
Other practice location 1
2572 Atlantic Ave
Long Beach, CA 90806-2751
Phone (310) 893-3884
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
- General Practice
- Education
- George Washington University School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2572 Atlantic Ave
Long Beach, CA 90806-2751
Phone (818) 774-2755
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 104 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A105478 | CA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West la Medical Group | Current | Accepting new patients | |
| Imperial Valley Family Care Medical Group Apc | General Practice | Past | Accepting new patients |
| Prestige Surgical Center LLC | Past | Accepting new patients |
Locations
17609 Ventura Blvd
Ste LL08
Encino, CA 91316
Phone (818) 774-2755
2572 Atlantic Ave
Long Beach, CA 90806
Phone (562) 424-0931
9220 Haven Ave
Ste 320
Rch Cucamonga, CA 91730
Phone (818) 774-2755
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- Encino, CA
- NPI 1598462749
-
dba Sarabi Medical Group
- General Practice Physician
- Irvine, CA
- NPI 1477855856
-
- General Practice Physician
- Imperial, CA
- NPI 1275581894
-
- Ambulatory Surgical Clinic/Center
- Tarzana, CA
- NPI 1902587637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699660800000",
"number": "1467650846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1512 TREASURE LN",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927052463",
"telephone_number": "310-893-3884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 E YALE LOOP STE E",
"city": "IRVINE",
"state": "CA",
"postal_code": "926044697",
"telephone_number": "310-893-3884"
}
],
"practiceLocations": [
{
"address_1": "2572 Atlantic Ave",
"address_purpose": "LOCATION",
"city": "Long Beach",
"state": "CA",
"postal_code": "908062751",
"country_code": "US",
"telephone_number": "310-893-3884",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SARABI",
"first_name": "KHASHAYAR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-06",
"last_updated": "2023-11-11",
"certification_date": "2023-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "A105478",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Sara Schoenhorn LCSW
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2023; 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.