Active NPI
Fatima Moiz Khambaty, MD
- Surgery Physician
- Sunnyvale, CA
National Provider Identifier
1508856907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD034480
- Practice address
- 1151 Bodega Dr
Sunnyvale, CA 94086-5740 - Phone
- (408) 737-2620
- NPI assigned
- Oct 26, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD034480 | DC | Primary |
Addresses
Primary practice location
1151 Bodega Dr
Sunnyvale, CA 94086-5740
Mailing address
1151 Bodega Dr
Sunnyvale, CA 94086-5740
Phone (408) 737-2620
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213747200000",
"number": "1508856907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1151 BODEGA DR",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940865740",
"telephone_number": "408-737-2620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1151 BODEGA DR",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940865740",
"telephone_number": "408-737-2620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAMBATY",
"first_name": "FATIMA",
"middle_name": "MOIZ",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-26",
"last_updated": "2008-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "DC",
"license": "MD034480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sunnyvale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.