Individual provider Active NPI

Saba Khan, RN, NP

  • Family Nurse Practitioner
  • Laguna Hills, CA
National Provider Identifier
1932763398
Registry record updated Apr 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95005134 Issued in CA
Practice address
24221 Calle de la Louisa Ste 300
Laguna Hills, CA 92653
Phone
(949) 334-8270
NPI assigned
Apr 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2019

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 95005134 CA Primary

Addresses

Primary practice location

24221 Calle de la Louisa Ste 300
Laguna Hills, CA 92653

Mailing address

8 San Bonifacio
RSM, CA 92688-2560
Phone (949) 295-5846

Other practice location 1

8 San Bonifacio
Rsm, CA 92688-2560
Phone (949) 295-5846

Other practice location 2

8 San Bonifacio
Rsm, CA 92688-2560
Phone (949) 295-5846

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
95005134CAMDFamily Nurse Practitioner

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

NPI Registry JSON

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

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556582400000",
    "number": "1932763398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SAN BONIFACIO",
            "city": "RSM",
            "state": "CA",
            "postal_code": "926882560",
            "telephone_number": "949-295-5846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24221 CALLE DE LA LOUISA STE 300",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "92653",
            "telephone_number": "949-334-8270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 San Bonifacio",
            "address_purpose": "LOCATION",
            "city": "Rsm",
            "state": "CA",
            "postal_code": "926882560",
            "country_code": "US",
            "telephone_number": "949-295-5846",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8 San Bonifacio",
            "address_purpose": "LOCATION",
            "city": "Rsm",
            "state": "CA",
            "postal_code": "926882560",
            "country_code": "US",
            "telephone_number": "949-295-5846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SABA",
        "credential": "RN, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-30",
        "last_updated": "2019-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95005134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.