Individual provider Active NPI

Sara O Khaled

  • Family Nurse Practitioner
  • Chandler, AZ
National Provider Identifier
1962077024
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
238973 Issued in AZ
Practice address
5980 S Cooper Rd Ste 3
Chandler, AZ 85249-5394
Phone
(480) 705-7300
Fax
(800) 530-9132
NPI assigned
May 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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 238973 AZ Primary

Addresses

Primary practice location

5980 S Cooper Rd Ste 3
Chandler, AZ 85249-5394

Mailing address

5980 S Cooper Rd Ste 3
Chandler, AZ 85249-5394
Phone (480) 705-7300

Other practice location 1

20185 E Ocotillo Rd
Queen Creek, AZ 85142-7663
Phone (480) 704-3474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210824002034 AZ Practitioner - Nurse Practitioner 4385049717 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paper Cranes Healthcare LLCGroup PAC ID 2668769589, 8 clinicians

Practice addresses (Care Compare)

5980 S Cooper Rd
Suite 1
Chandler, AZ 85249-5394
Phone (480) 704-3474

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Paper Cranes Healthcare LLC CurrentSince Apr 1, 2025 Accepting new patients
Aleracare Aic LLC CurrentSince Jan 18, 2025 Accepting new patients
American Vascular Specialists LLC PastSince Apr 1, 2025 Accepting new patients

Locations

5980 S Cooper Rd
Ste 1
Chandler, AZ 85249
Phone (480) 704-3474

930 N Switzer Canyon Dr
Ste 201
Flagstaff, AZ 86001
Phone (520) 542-2125

3555 Western Ave
Kingman, AZ 86409
Phone (928) 530-5430

4350 E Ray Rd
Ste 108
Phoenix, AZ 85044
Phone (480) 759-1040

20950 N Tatum Blvd
Ste 350
Phoenix, AZ 85050
Phone (480) 502-6651

5350 E High St
Ste 300
Phoenix, AZ 85054
Phone (480) 716-5820

3100 N Navajo Dr
Ste B3
Prescott Valley, AZ 86314
Phone (480) 716-3476

20185 E Ocotillo Rd
Ste 105
Queen Creek, AZ 85142
Phone (480) 677-3600

20185 E Ocotillo Rd
Ste 104
Queen Creek, AZ 85142
Phone (480) 888-2010

2120 W Ina Rd
Ste 100
Tucson, AZ 85741
Phone (520) 395-0471

2110 W 24th St
Ste A
Yuma, AZ 85364
Phone (855) 442-7700

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.

NPI Registry JSON

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1962077024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5980 S COOPER RD STE 3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852495394",
            "telephone_number": "480-705-7300",
            "fax_number": "800-530-9132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5980 S COOPER RD STE 3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852495394",
            "telephone_number": "480-705-7300",
            "fax_number": "800-530-9132"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20185 E Ocotillo Rd",
            "address_purpose": "LOCATION",
            "city": "Queen Creek",
            "state": "AZ",
            "postal_code": "851427663",
            "country_code": "US",
            "telephone_number": "480-704-3474",
            "fax_number": "888-221-2541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHALED",
        "first_name": "SARA",
        "middle_name": "O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-21",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "238973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.