Individual provider Active NPI

Mohammad Sina Khorasani

  • Diagnostic Radiology Physician
  • Sacramento, CA
National Provider Identifier
1881222586
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A200126 Issued in CA
Practice address
4860 Y St Ste 3100
Sacramento, CA 95817-2307
Phone
(916) 734-5733
NPI assigned
Mar 29, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A200126 CA Primary

Addresses

Primary practice location

4860 Y St Ste 3100
Sacramento, CA 95817-2307

Mailing address

4860 Y St Ste 3100
Sacramento, CA 95817-2307

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
I20250604001913 CA Practitioner - Diagnostic Radiology 1153830716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regents of the Univ of CaGroup PAC ID 3375456619, 1,571 clinicians

Practice addresses (Care Compare)

10850 White Rock Rd
Rancho Cordova, CA 95670-6044

2261 Douglas Blvd
Roseville, CA 95661-3831
Phone (916) 783-7109

2315 Stockton Blvd
Sacramento, CA 95817-2201
Phone (916) 734-2011

2660 W Covell Blvd
Davis, CA 95616-5645
Phone (530) 747-3000

3200 Bell Rd
Auburn, CA 95603-9244
Phone (530) 885-7616

3201 Data Dr
Rancho Cordova, CA 95670-7374
Phone (916) 851-1440

4860 Y St
Sacramento, CA 95817-2307

4861 Y St
Sacramento, CA 95817-2307
Phone (916) 734-2525

4868 X St
Sacramento, CA 95817-2205

550 W Ranch View Dr
Suite 1200
Rocklin, CA 95765-5398
Phone (916) 295-5810

7551 Madison Ave
Citrus Heights, CA 95610-7449
Phone (916) 904-3000

8110 Laguna Blvd
Elk Grove, CA 95758-8094
Phone (916) 683-3942

Hospital & facility affiliations

  • University of California Davis Medical Center Hospital, Sacramento, CA, CCN 050599
  • Adventist Health and Rideout Hospital, Marysville, CA, CCN 050133

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A200126CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca Current Accepting new patients
Regents of the Univ of Ca Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Regents of the Univ of Ca Past Accepting new patients

Locations

10850 White Rock Rd
Rancho Cordova, CA 95670

4868 X St
Sacramento, CA 95817
Phone (916) 703-1503

4860 Y St
Ste 500
Sacramento, CA 95817
Phone (916) 734-3171

4860 Y St
Ste 3100
Sacramento, CA 95817
Phone (916) 703-2273

2315 Stockton Blvd
Sacramento, CA 95817
Phone (916) 703-3030

Interoperability endpoints

  • Direct secure messaging: mkhorasani26115@albanymed.direct-ci.com

Organizations & group practices 3

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.

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": "1585440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1881222586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4860 Y ST STE 3100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4860 Y ST STE 3100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172307",
            "telephone_number": "916-734-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHORASANI",
        "first_name": "MOHAMMAD",
        "middle_name": "SINA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-29",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A200126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.