SABA SADAT KHANSARI PA-C
NPI 1467000802
Physician Assistant in Los Angeles, CA

Q: What is Saba Sadat Khansari's NPI number?

The NPI number for Saba Sadat Khansari is 1467000802. It was assigned to this individual provider in the NPPES registry on August 29, 2019.

Q: What is Saba Sadat Khansari's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since August 29, 2019PECOS Enrolled

1811 N WESTERN AVE, LOS ANGELES, CA 90027(855) 783-2434 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 7, 2024, May 5, 2022, Aug 29, 2019 (3 updates tracked since 2019).

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About Saba Sadat Khansari Pa-c NPPES

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

SABA SADAT KHANSARI PA-C (NPI 1467000802) is an individual physician assistant in Los Angeles, California, licensed in California (PA60973) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1467000802

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSABA SADAT KHANSARICredential: PA-C

Location Address1811 N WESTERN AVELos Angeles, CA 90027-3403

Mailing Address6255 W Sunset Blvd Fl 21Los Angeles, CA 90028-7422 · (323) 860-5200 · Fax (323) 467-7119

Phone(855) 783-2434

Sole ProprietorYes

Enumeration DateAugust 29, 2019

Last NPPES UpdateMay 7, 20243 updates tracked since enumeration

NPPES CertifiedMay 7, 2024

✔ NPI 1467000802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CA · PA60973

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedFamily MedicineTaxonomy 207Q00000X · License PA60973 (CA)

1811 N WESTERN AVE, Los Angeles, CA 90027

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Secondary Practice Location 1

Location 11462 Clifton Rd NE Ste 280Atlanta, GA 30322-1000 · Phone (404) 727-6123

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Saba Sadat Khansari Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90027 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

RUTH OYINKANSOLA OLUSOTO FNP

Nurse Practitioner