Samira Khan, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

C172118 Issued in CA

Practice address

27871 Medical Center Rd Ste 120
Mission Viejo, CA 92691-6405

Phone

(714) 901-2006

Fax

(714) 901-2004

NPI assigned

Jul 9, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

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

Specialty

Ophthalmology

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orange Coast Eye Center IncGroup PAC ID 1355438938, 5 clinicians

Azul Vision IncGroup PAC ID 2264851740, 49 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.18 of 100Reported as group

Quality

99.47

Improvement activities

40

Cost

77.98

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/amanpreet
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: samira.khan.p1@direct.atlantiseyecare.nextgenshare.com
• Direct secure messaging: skhan@californiaeye.intellechartdirect.net

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.

• Azul Vision Inc.

  • Ophthalmology Physician
  • Pasadena, CA
  • NPI 1285247528
  Medicare reassignment Care Compare group NPD
• Orange Coast Eye Center Inc

  • Ophthalmology Physician
  • Fountain Valley, CA
  • NPI 1962693531
  Medicare reassignment Care Compare group NPD
• East-West Eye Institute a Medical Corporation

  • Ophthalmology Physician
  • Torrance, CA
  • NPI 1285810994
  Medicare reassignment NPD
• Eyecare Specialists Medical Group, Inc

  • Ophthalmology Physician
  • Anaheim, CA
  • NPI 1437181930
  Medicare reassignment NPD
• Salehi Retina Institute Inc.

  • Retina Specialist (Ophthalmology) Physician
  • Huntington Beach, CA
  • NPI 1760031363
  Medicare reassignment NPD
• California Eye Specialists Medical Group, Inc

  • Specialist
  • Pasadena, CA
  • NPI 1699713099
  NPD
• East-West Eye Institute a Medical Corporation

  • Ophthalmology Physician
  • Gardena, CA
  • NPI 1083890701
  NPD
• Eyecare Specialists Medical Group, Inc

  • Ophthalmology Physician
  • Palm Desert, CA
  • NPI 1346858537
  NPD
• Eyecare Specialists Medical Group, Inc.

  • Ophthalmology Physician
  • Huntington Beach, CA
  • NPI 1750488169
  NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Santa Clarita, CA
  • NPI 1316409410
  NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Baldwin Park, CA
  • NPI 1770515280
  NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Anaheim, CA
  • NPI 1952333460
  NPD

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1679736672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 ENTERPRISE STE 200",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926562626",
            "telephone_number": "949-688-6205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27871 MEDICAL CENTER RD STE 120",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916405",
            "telephone_number": "714-901-2006",
            "fax_number": "714-901-2004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 N Harbor Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fullerton",
            "state": "CA",
            "postal_code": "928354107",
            "country_code": "US",
            "telephone_number": "714-888-2080",
            "fax_number": "714-888-2099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "475 W Badillo St",
            "address_purpose": "LOCATION",
            "city": "Covina",
            "state": "CA",
            "postal_code": "917231834",
            "country_code": "US",
            "telephone_number": "714-901-2004",
            "fax_number": "714-901-2006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SAMIRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "C172118",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "128133",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "252224",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "441 N Lakeview Ave",
            "city": "Anaheim",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928073028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Barbara Kelly Key, PSY.D.
• Elham Khajavi, D.D.S.
• Sawghar Khalaj, FNP
• Neloufar Aileen Khalilian
• Nadia Khamoo, APCC
• Lina Khanukayev, PT, DPT
• Bahareh Bahadori Khavarian, M.D.
• Nika Sara Khoobiyary
• Farhad Khorashadi, M.D.
• Alissa Nicole Khosla, LCSW

• Ophthalmology Physician in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.

Verify at the official NPI Registry.