Active NPI
Saba Khan, RN, NP
- Family Nurse Practitioner
- Laguna Hills, CA
National Provider Identifier
1932763398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95005134
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 95005134 | CA | MD | Family 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.