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SINA KHAKSAR MD
NPI 1124716212
Student in an Organized Health Care Education/Training Program in Ventura, CA

Active since April 26, 2023PECOS Enrolled
300 HILLMONT AVE STE 120, VENTURA, CA 93003(805) 652-6228 Get Directions Write a Review

NPPES record last updated: April 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sina Khaksar Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SINA KHAKSAR MD (NPI 1124716212) is an individual student in an organized health care education/training program in Ventura, California and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1124716212
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSINA KHAKSARCredential: MD
Location Address300 HILLMONT AVE STE 120Ventura, CA 93003-1651
Mailing Address300 Hillmont Ave Ste 120Ventura, CA 93003-1651 · (805) 652-6228
Phone(805) 652-6228
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateApril 26, 2023
NPPES CertifiedApril 26, 2023
✔ NPI 1124716212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
300 HILLMONT AVE STE 120, Ventura, CA 93003
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sina Khaksar Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113498262
PECOS Enrollment IDI20260609002778
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VALENTINA SEDLACEK MD
Student in an Organized Health Care Education/Training Program
300 HILLMONT AVE STE 120
VENTURA, CA 93003
Ventura County (805) 652-6228
JULIA CAMILLERI DO
Student in an Organized Health Care Education/Training Program
300 HILLMONT AVE STE 120
VENTURA, CA 93003
Ventura County (805) 652-6228
DR. MEGAN MARIE MCLAUGHLIN MD, MPH
Student in an Organized Health Care Education/Training Program
300 HILLMONT AVE STE 120
VENTURA, CA 93003
Ventura County (805) 652-6228
MICAH TRAUTWEIN MD
Student in an Organized Health Care Education/Training Program
300 HILLMONT AVE STE 120
VENTURA, CA 93003
Ventura County (805) 652-6228
MOIRA WOOD MD
Family Medicine
300 HILLMONT AVE STE 120
VENTURA, CA 93003
Ventura County (805) 652-6228
ALEXIS DESTINY PELLECER MD
Student in an Organized Health Care Education/Training Program
300 HILLMONT AVE STE 120
VENTURA, CA 93003
Ventura County (805) 652-6228
RACHEL DAVID
Student in an Organized Health Care Education/Training Program
300 HILLMONT AVE STE 120
VENTURA, CA 93003
Ventura County (805) 652-6228
DR. WILLIAM WELLS LUNDY MD
Student in an Organized Health Care Education/Training Program
300 HILLMONT AVE STE 120
VENTURA, CA 93003
Ventura County (805) 652-6228

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sina Khaksar's NPI number?

The NPI number for Sina Khaksar is 1124716212. It was assigned to this individual provider in the NPPES registry on April 26, 2023.

Where is Sina Khaksar located?

Sina Khaksar practices at 300 Hillmont Ave Ste 120, Ventura, CA 93003. The listed phone number is (805) 652-6228.

What is Sina Khaksar's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Sina Khaksar enrolled in Medicare?

Yes. Sina Khaksar is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sina Khaksar was last updated on April 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.