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DR. MITRA ELISHA SIMANIAN DDS
NPI 1003097783
Dentist in Manhattan Beach, CA

Active since November 21, 2007PECOS Enrolled
1200 ROSECRANS AVE STE 210, MANHATTAN BEACH, CA 90266(310) 414-0620(310) 414-0689 Get Directions Write a Review

NPPES record last updated: November 21, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mitra Elisha Simanian Dds NPPES

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

DR. MITRA ELISHA SIMANIAN DDS (NPI 1003097783) is an individual dentist in Manhattan Beach, California, licensed in California (43562) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003097783
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. MITRA ELISHA SIMANIANCredential: DDS
Location Address1200 ROSECRANS AVE STE 210Manhattan Beach, CA 90266-2470
Mailing Address1200 Rosecrans Ave Ste 210Manhattan Beach, CA 90266-2470 · (310) 414-0620 · Fax (310) 414-0689
Phone(310) 414-0620
Fax(310) 414-0689
Sole ProprietorYes
Enumeration DateNovember 21, 2007
✔ NPI 1003097783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 43562
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1200 ROSECRANS AVE STE 210, Manhattan Beach, CA 90266
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mitra Elisha Simanian Dds 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 90266 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 3

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

DR. KEUN WON KIM DDS
Dentist (General Practice)
1200 ROSECRANS AVE STE 210
MANHATTAN BEACH, CA 90266
Los Angeles County (310) 414-0620
SEA BREEZE DENTAL GROUP
Clinic/Center (Dental)
1200 ROSECRANS AVE STE 210
MANHATTAN BEACH, CA 90266
Los Angeles County (310) 414-0620
SARAH MARIAM HADAR DMD
Dentist
1200 ROSECRANS AVE STE 210
MANHATTAN BEACH, CA 90266
Los Angeles County (310) 414-0620

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 Mitra Simanian's NPI number?

The NPI number for Mitra Simanian is 1003097783. It was assigned to this individual provider in the NPPES registry on November 21, 2007.

Where is Mitra Simanian located?

Mitra Simanian practices at 1200 Rosecrans Ave Ste 210, Manhattan Beach, CA 90266. The listed phone number is (310) 414-0620.

What is Mitra Simanian's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Mitra Simanian enrolled in Medicare?

Yes. Mitra Simanian is registered in the Medicare PECOS enrollment system.

What insurance does Mitra Simanian accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Mitra Simanian as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mitra Simanian was last updated on November 21, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.