Active NPI
Sameer Khatri
- Anatomic Pathology & Clinical Pathology Physician
- Irvine, CA
National Provider Identifier
1891115796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 18-271
- Practice address
- 103 Annuals
Irvine, CA 92618-0877 - Phone
- (269) 861-5703
- NPI assigned
- Apr 18, 2014
- Last updated
- Mar 3, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 18-271 | FL | Primary |
Addresses
Primary practice location
103 Annuals
Irvine, CA 92618-0877
Mailing address
103 Annuals
Irvine, CA 92618-0877
Phone (269) 861-5703
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: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18-271 | FL | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677801600000",
"number": "1891115796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 ANNUALS",
"city": "IRVINE",
"state": "CA",
"postal_code": "926180877",
"telephone_number": "269-861-5703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 ANNUALS",
"city": "IRVINE",
"state": "CA",
"postal_code": "926180877",
"telephone_number": "269-861-5703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHATRI",
"first_name": "SAMEER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-18",
"last_updated": "2023-03-03",
"certification_date": "2023-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "FL",
"license": "18-271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.