Individual provider Active NPI

Sawghar Khalaj, FNP

  • Family Nurse Practitioner
  • Mission Viejo, CA
National Provider Identifier
1710768916
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95027468 Issued in CA
Practice address
27799 Medical Center Rd
Mission Viejo, CA 92691-6400
Phone
(949) 364-1007
NPI assigned
Oct 12, 2023
Last updated
Oct 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95027468 CA Primary

Addresses

Primary practice location

27799 Medical Center Rd
Mission Viejo, CA 92691-6400

Mailing address

24 Westcliff
Laguna Niguel, CA 92677-2929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231213001048 CA Practitioner - General Surgery 7012366271 Reassigns benefits to 1 organization
I20241002000962 CA Practitioner - Nurse Practitioner 7012366271 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Orange County Surgical Medical Group IncGroup PAC ID 8426945338, 22 clinicians

Practice addresses (Care Compare)

27799 Medical Ctr Rd
Mission Viejo, CA 92691-6400
Phone (949) 364-1007

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.08 of 100Reported as group
Quality
62.67
Promoting interoperability
100
Improvement activities
40
Cost
85.6

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Orange County Surgical Medical Group, Inc. CurrentSince Nov 15, 2023 Accepting new patients
Oc Trauma Inc Past Accepting new patients

Locations

24411 Health Center Dr
Ste 350
Laguna Hills, CA 92653
Phone (949) 457-7900

27799 Medical Center Rd
Ste 440
Mission Viejo, CA 92691
Phone (949) 364-1007

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12518/brand/2/csg/1/fhir/r4
  • Direct secure messaging: sawghar.khalaj.1@12518.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1710768916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 WESTCLIFF",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27799 MEDICAL CENTER RD",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916400",
            "telephone_number": "949-364-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALAJ",
        "first_name": "SAWGHAR",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-12",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95027468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.