NPIMap

Individual provider Active NPI

Jagmohan Singh Khaira, M.D.

  • Internal Medicine Physician
  • Alameda, CA
National Provider Identifier
1801864988
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A81083 Issued in CA
Practice address
1050 Marina Village Parkway
Suite 101
Alameda, CA 94501-1033
Phone
(510) 227-5540
Fax
(510) 373-2339
NPI assigned
Mar 14, 2006
Last updated
Jan 28, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A81083 CA Primary

Addresses

Primary practice location

1050 Marina Village Parkway
Suite 101
Alameda, CA 94501-1033

Mailing address

1050 Marina Village Pkwy
Ste 101
Alameda, CA 94501-1033
Phone (510) 227-5540

Other identifiers 2

IdentifierTypeStateIssuer
00A810830MedicaidCA
A81038OtherCACALIFORNIA LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040902000455 CA Practitioner - Internal MedicinePractitioner - Hospice/Palliative Care 8729054630 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospice/Palliative Care
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1050 Marina Village Pkwy
Suite 101
Alameda, CA 94501-1033
Phone (510) 227-5540

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.26 of 100Reported as individual
Quality
70.77
Promoting interoperability
100
Improvement activities
40
Cost
86.76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A81083CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers of America CurrentSince Jun 16, 2025 Accepting new patients
Jagmohan S. Khaira, M.D, Inc. CurrentSince Aug 8, 2014 Accepting new patients
Equivera Health Inc Internal Medicine Current Accepting new patients
Community Health Centers of America CurrentSince Jun 16, 2025 Accepting new patients
Alta Bates Summit Medical Center Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Alameda Health System Past Accepting new patients

Locations

1050 Marina Village Pkwy
Ste 101
Alameda, CA 94501
Phone (510) 227-5540

6608 Mercy Ct
Ste B
Fair Oaks, CA 95628
Phone (916) 277-8881

5320 State Highway 49 N
Ste 13
Mariposa, CA 95338
Phone (209) 966-2344

2928 Eastern Ave
Sacramento, CA 95821
Phone (916) 894-8212

Interoperability endpoints

  • Direct secure messaging: jagmohan.khaira.1@15542.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Commonspirit Health at HomeOakland, CA, CCN 051506 Hospice W-2 Managing Employee Jan 1, 2023
Mercy HospiceRancho Cordova, CA, CCN 051600 Hospice W-2 Managing Employee Sep 1, 2022

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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 9

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1801864988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 MARINA VILLAGE PKWY",
            "address_2": "STE 101",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945011033",
            "telephone_number": "510-227-5540",
            "fax_number": "510-788-6849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 MARINA VILLAGE PARKWAY",
            "address_2": "SUITE 101",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945011033",
            "telephone_number": "510-227-5540",
            "fax_number": "510-373-2339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAIRA",
        "first_name": "JAGMOHAN",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A81083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A810830",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA LICENSE NUMBER",
            "identifier": "A81038",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alameda, CA

Sources for this page

Verify at the official NPI Registry.