Active NPI
Khyati Pandya, M.D.
- Pediatric Cardiology Physician
- Laguna Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- 23529
- Practice address
- 24022 Calle de la Plata Ste 500
Laguna Hills, CA 92653-7612 - Phone
- (877) 430-7337
- NPI assigned
- Jul 13, 2007
- 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 |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | 23529 | MS | Primary |
Addresses
Primary practice location
24022 Calle de la Plata Ste 500
Laguna Hills, CA 92653-7612
Mailing address
3080 Bristol St Ste 150
Costa Mesa, CA 92626-3068
Phone (714) 445-0228
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3119940 | Medicaid | OH | |
| 04523542 | Medicaid | MS | |
| 2406761 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, CA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
807 Childrens Way
Childrens Clinic
Jacksonville, FL 32207-8426
Phone (904) 390-3600
Hospital & facility affiliations
- Baptist Health Medical Center - Jacksonville
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23529 | MS | MD | Pediatric Cardiology Physician |
Practice roles (4 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Au Medical Associates Inc | Current | Accepting new patients | |
| Pacific Cardiovascular Associates Medical Group, Inc. | Current | Accepting new patients | |
| Au Medical Associates Inc | Current | Accepting new patients | |
| The Nemours Foundation | Past | Accepting new patients |
Locations
3070 Bristol St
Ste 190
Costa Mesa, CA 92626
Phone (714) 445-0228
3080 Bristol St
Ste 150
Costa Mesa, CA 92626
Phone (714) 389-1846
3080 Bristol St
Ste 600
Costa Mesa, CA 92626
Phone 7144450228 ext. 8262
24022 Calle de la Plata
Ste 500
Laguna Hills, CA 92653
Phone (877) 430-7337
2701 Atlantic Ave
Long Beach, CA 90806
Phone (562) 684-8096
790 E Willow St
Ste 150
Long Beach, CA 90806
Phone (714) 445-0228
3400 Lomita Blvd
Ste 500
Torrance, CA 90505
Phone (310) 373-7900
1120 15th St
Augusta, GA 30912
Phone (706) 721-3873
1120 15th St
Ste BI1056
Augusta, GA 30912
Phone (706) 721-2785
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- khyati.pandya.p13@direct.pca.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- kpandya869083@direct.memorialcare.org
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1386658615
-
- Legal Medicine
- Costa Mesa, CA
- NPI 1700821691
-
- Multi-Specialty Clinic/Center
- Augusta, GA
- NPI 1841230620
-
- Durable Medical Equipment & Medical Supplies
- Augusta, GA
- NPI 1114574126
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1265585806
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731369600000",
"number": "1982803524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3080 BRISTOL ST STE 150",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926263068",
"telephone_number": "714-445-0228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24022 CALLE DE LA PLATA STE 500",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926537612",
"telephone_number": "877-430-7337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANDYA",
"first_name": "KHYATI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-13",
"last_updated": "2024-11-12",
"certification_date": "2024-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "MS",
"license": "23529",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3119940",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04523542",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2406761",
"state": "LA"
}
],
"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 Nov 12, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.