Active NPI
Khae V Saephanh, D.O.
- Family Medicine Physician
- San Jose, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A9049
- Practice address
- 2150 N 1St St FL 2
San Jose, CA 95131-2020 - Phone
- (888) 663-6331
- Fax
- (415) 252-7176
- NPI assigned
- Aug 21, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A9049 | CA | Primary |
Addresses
Primary practice location
2150 N 1St St FL 2
San Jose, CA 95131-2020
Mailing address
130 Sutter St FL 2
San Francisco, CA 94104-4009
Phone (415) 658-6791
Other practice location 1
746 The Alameda
San Jose, CA 95126-3154
Phone (408) 228-1020
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20A9049 | Other | CA | MEDICAL LICENSE |
| 00AX90490 | Medicaid | CA | |
| 20A9049 | Other | CA | LICENSE |
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
- Family Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
559 Clay St
Suite 200
San Francisco, CA 94111-3029
Phone (888) 663-6331
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A9049 | CA | MD | Family Medicine Physician |
| 9049 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| One Medical Group, Inc. | Family Medicine | Current | Accepting new patients |
| One Medical Group, Inc | Family Medicine | Current | Accepting new patients |
| North East Medical Services | Current | Accepting new patients | |
| North East Medical Services | Current | Accepting new patients |
Locations
211 Eastmoor Ave
Daly City, CA 94015
Phone (650) 550-3923
1955 Broadway
Ste A
Oakland, CA 94612
900 Veterans Blvd
Ste 150
Redwood City, CA 94063
Phone (650) 298-8774
110 Sutter St
Fl 6
San Francisco, CA 94104
Phone (415) 392-8200
559 Clay St
#200
San Francisco, CA 94111
Phone (415) 830-4744
130 Sutter St
Fl 2
San Francisco, CA 94104
Phone (415) 529-4522
1 Embarcadero Ctr
Ste 1900
San Francisco, CA 94111
82 Leland Ave
San Francisco, CA 94134
Phone (415) 391-9688
2150 N 1st St
Fl 2
San Jose, CA 95131
746 The Alameda
San Jose, CA 95126
Phone (408) 228-1020
1870 Lundy Ave
San Jose, CA 95131
Phone (408) 573-9686
2150 N 1st St
Ste 250
San Jose, CA 95131
Phone (408) 228-1022
2950 S Delaware St
Ste 150
San Mateo, CA 94403
1004 Northgate Dr
San Rafael, CA 94903
Phone (415) 590-6150
1299 Oakmead Pkwy
Sunnyvale, CA 94085
Phone (408) 266-3100
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 and National Provider Directory roles.
-
- Family Medicine Physician
- San Francisco, CA
- NPI 1467781641
-
- Federally Qualified Health Center (FQHC)
- San Francisco, CA
- NPI 1518911304
-
- Federally Qualified Health Center (FQHC)
- San Francisco, CA
- NPI 1982784740
-
- Family Medicine Physician
- Tigard, OR
- NPI 1891521134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741910400000",
"number": "1669588133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 SUTTER ST FL 2",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941044009",
"telephone_number": "415-658-6791",
"fax_number": "415-520-0904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 N 1ST ST FL 2",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951312020",
"telephone_number": "888-663-6331",
"fax_number": "415-252-7176"
}
],
"practiceLocations": [
{
"address_1": "746 The Alameda",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "951263154",
"country_code": "US",
"telephone_number": "408-228-1020",
"fax_number": "415-252-7176",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAEPHANH",
"first_name": "KHAE",
"middle_name": "V",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-21",
"last_updated": "2025-03-14",
"certification_date": "2025-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A9049",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "20A9049",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00AX90490",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "20A9049",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; 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.