Individual provider Active NPI

Sanjay Kumar Khurana, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Marina del Rey, CA
National Provider Identifier
1831145937
Registry record updated Sep 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
A066081 Issued in CA
Practice address
13160 Mindanao Way
Suite 300
Marina del Rey, CA 90292-6358
Phone
(310) 854-3800
NPI assigned
May 26, 2006
Last updated
Sep 28, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X A066081 CA Primary

Addresses

Primary practice location

13160 Mindanao Way
Suite 300
Marina del Rey, CA 90292-6358

Mailing address

13160 Mindanao Way
Suite 300
Marina del Rey, CA 90292-6358
Phone (310) 854-3800

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050202001046 CA Practitioner - Orthopedic Surgery 9234180647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Stanford University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Commons Clinic Medical Group, PCGroup PAC ID 6204221096, 21 clinicians

Practice addresses (Care Compare)

2080 Century Park E
Suite 1204
Century City, CA 90067-2015
Phone (310) 595-1030

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion134
Laminectomy or laminotomy (partial removal of spine bones)65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A066081CAMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Commons Clinic Medical Group, PC CurrentSince Oct 1, 2022 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Commons Clinic Medical Network, PC Past Accepting new patients

Locations

2080 Century Park E
Ste 1204
Los Angeles, CA 90067
Phone (310) 430-1310

13160 Mindanao Way
Ste 300
Marina del Rey, CA 90292
Phone (310) 574-0400

2901 Wilshire Blvd
Ste 300
Santa Monica, CA 90403
Phone (310) 595-1030

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190937600000",
    "number": "1831145937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13160 MINDANAO WAY",
            "address_2": "SUITE 300",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926358",
            "telephone_number": "310-854-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13160 MINDANAO WAY",
            "address_2": "SUITE 300",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926358",
            "telephone_number": "310-854-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHURANA",
        "first_name": "SANJAY",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2007-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CA",
            "license": "A066081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marina del Rey, CA

Sources for this page

Verify at the official NPI Registry.