Individual provider Active NPI

Sarineh Khajehsari, FNP

  • Family Nurse Practitioner
  • Burbank, CA
National Provider Identifier
1801652524
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95027129 Issued in CA
Practice address
2802 Joaquin Dr
Burbank, CA 91504-1827
Phone
(818) 669-5145
NPI assigned
Feb 21, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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 95027129 CA Primary

Addresses

Primary practice location

2802 Joaquin Dr
Burbank, CA 91504-1827

Mailing address

2802 Joaquin Dr
Burbank, CA 91504-1827
Phone (818) 669-5145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95027129CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Art of Healing Home Health Care, Inc. PastSince Mar 10, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1708473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1801652524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2802 JOAQUIN DR",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915041827",
            "telephone_number": "818-669-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 JOAQUIN DR",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915041827",
            "telephone_number": "818-669-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAJEHSARI",
        "first_name": "SARINEH",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-21",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95027129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.