Saba Sadat Khansari, PA-C is a medicare enrolled "Physician Assistant" physician in Los Angeles, California. Her current practice location is
1811 N Western Ave, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at
(855) 783-2434.
Saba Sadat Khansari is licensed to practice in California (license number PA60973) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1467000802.
Physician's Profile
Full Name | Saba Sadat Khansari |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 1811 N Western Ave, Los Angeles, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1467000802
- Provider Enumeration Date: 08/29/2019
- Last Update Date: 05/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 5092247700
- Enrollment ID: I20241021000082
Medical Identifiers
Medical identifiers for Saba Sadat Khansari such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467000802 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | PA60973 (California) | Secondary |
363A00000X | Physician Assistant | PA60973 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Saba Sadat Khansari is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Saba Sadat Khansari, PA-C 6255 W Sunset Blvd Fl 21, Los Angeles, CA 90028-7422 Ph: (323) 860-5200 | Saba Sadat Khansari, PA-C 1811 N Western Ave, Los Angeles, CA 90027-3403 Ph: (855) 783-2434 |
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