Individual provider Active NPI

Aqiba Bokhari, M.D.

  • Anatomic Pathology Physician
  • Sacramento, CA
National Provider Identifier
1518115476
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
A106123 Issued in CA
Practice address
4400 V St
Sacramento, CA 95817-1445
Phone
(916) 734-3331
Fax
(916) 734-6468
NPI assigned
Sep 4, 2008
Last updated
May 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2020

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Cytopathology Physician 207ZC0500X A106123 CA
Anatomic Pathology Physician 207ZP0101X 25MA08458900 NJ
Anatomic Pathology Physician 207ZP0101X 238154-1 NY
Anatomic Pathology Physician 207ZP0101X MD427932 PA
Anatomic Pathology Physician 207ZP0101X A106123 CA Primary

Addresses

Primary practice location

4400 V St
Sacramento, CA 95817-1445

Mailing address

4400 V St
Sacramento, CA 95817-1445
Phone (916) 734-3331

Other identifiers 1

IdentifierTypeStateIssuer
A106126OtherCALICENSE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181010003039 CA Practitioner - Pathology 4385707058 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regents of the Univ of CaGroup PAC ID 3375456619, 1,571 clinicians

Practice addresses (Care Compare)

2315 Stockton Blvd
Sacramento, CA 95817-2201
Phone (916) 703-3011

Merit-based Incentive Payment System (MIPS)

Final score
83.15 of 100Reported as group
Quality
64.8
Promoting interoperability
100
Improvement activities
40
Cost
68.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A106123CAMDAnatomic Pathology Physician
25MA08458900NJMDAnatomic Pathology Physician
238154-1NYMDAnatomic Pathology Physician
MD427932PAMDAnatomic Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca Current Accepting new patients
Regents of the Univ of Ca CurrentSince Jul 1, 2020 Accepting new patients
Regents of the University of Ca CurrentSince Jul 1, 2020 Accepting new patients
Yosemite Pathology Medical Group, Inc Cytopathology CurrentSince Jul 29, 2018 Accepting new patients
Yosemite Pathology Medical Group, in Past Accepting new patients
Universityofrochester Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Highland Hospital of Rochester Past Accepting new patients

Locations

4301 N Star Way
Modesto, CA 95356
Phone (915) 521-2290

4301 N Star Way
Ste A
Modesto, CA 95356

2315 Stockton Blvd
Sacramento, CA 95817
Phone (916) 703-3030

4400 V St
Sacramento, CA 95817
Phone (916) 734-2525

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1518115476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 V ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958171445",
            "telephone_number": "916-734-3331",
            "fax_number": "916-734-6468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 V ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958171445",
            "telephone_number": "916-734-3331",
            "fax_number": "916-734-6468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOKHARI",
        "first_name": "AQIBA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-04",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "CA",
            "license": "A106123",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "NJ",
            "license": "25MA08458900",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "NY",
            "license": "238154-1",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "PA",
            "license": "MD427932",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "CA",
            "license": "A106123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A106126",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.