Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sara Minor Khadivi

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063047348

Sara Minor Khadivi is a Physician Assistant in San Diego, California. Graduated from Eastern Virginia Medical School in 2020, 6 years ago. Practices with Chesapeake Regional Medical Group, a 145-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Trained at
Eastern Virginia Medical School
Licensed in
CA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

San Diego, CA

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • 249 Cassady Ave, Virginia Beach, VA 23452-4248 — (757) 788-6264

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 58304 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1063047348
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 7, 2020
Last updated in NPPESJanuary 20, 2021
Certification dateJanuary 20, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolEASTERN VIRGINIA MEDICAL SCHOOL
Graduated 2020 (6 years in practice)
Group practice Chesapeake Regional Medical Group — 145 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in San Diego