Individual provider Active NPI

Khyati Pandya, M.D.

  • Pediatric Cardiology Physician
  • Laguna Hills, CA
National Provider Identifier
1982803524
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
23529 Issued in MS
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

Updated by the provider on Nov 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3119940MedicaidOH
04523542MedicaidMS
2406761MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, CA, FL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200409003837 GA Practitioner - Pediatric MedicinePractitioner - Cardiac Electrophysiology 4284789876 Reassigns benefits to 1 organization
I20250123003464 CA Practitioner - Adult Congenital Heart Disease (Achd) 4284789876 Reassigns benefits to 1 organization
I20260605000156 FL Practitioner - Cardiovascular Disease (Cardiology) 4284789876 Reassigns benefits to 1 organization

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
The Nemours FoundationGroup PAC ID 9537072483, 249 clinicians

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 Hospital, Jacksonville, FL, CCN 100088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23529MSMDPediatric Cardiology Physician

Practice roles (4 of 5)

OrganizationSpecialtyStatusNew patients
Au Medical Associates Inc CurrentSince Feb 4, 2020 Accepting new patients
Pacific Cardiovascular Associates Medical Group, Inc. CurrentSince Nov 22, 2024 Accepting new patients
Au Medical Associates Inc CurrentSince Feb 4, 2020 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

  • Direct secure messaging: khyati.pandya.p13@direct.pca.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.