KATHY KEIKHAN EBRAHIMI DDS
NPI 1013396811
Dentist in Folsom, CA

Q: What is Kathy Keikhan Ebrahimi's NPI number?

The NPI number for Kathy Keikhan Ebrahimi is 1013396811. It was assigned to this individual provider in the NPPES registry on May 26, 2015.

Q: What is Kathy Keikhan Ebrahimi's specialty?

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

Active since May 26, 2015PECOS Enrolled

183 BLUE RAVINE RD, FOLSOM, CA 95630(916) 983-8870 Get Directions Write a Review

NPPES record last updated: May 27, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Kathy Keikhan Ebrahimi Dds NPPES

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

KATHY KEIKHAN EBRAHIMI DDS (NPI 1013396811) is an individual dentist in Folsom, California, licensed in California (45124) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013396811

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameKATHY KEIKHAN EBRAHIMICredential: DDS

Location Address183 BLUE RAVINE RDFolsom, CA 95630-4704

Mailing Address183 Blue Ravine RdFolsom, CA 95630-4704 · (916) 983-8870

Phone(916) 983-8870

Sole ProprietorNo

Enumeration DateMay 26, 2015

Last NPPES UpdateMay 27, 2015

✔ NPI 1013396811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 45124

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.

183 BLUE RAVINE RD, Folsom, CA 95630

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathy Keikhan Ebrahimi 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.

Medicare Billing Reassignment

Medicare enrollment records show Kathy Keikhan Ebrahimi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Los Angeles Auditor Controller

321 mi

Clinic/Center

335 E AVENUE I
Lancaster, CA 93535

Reassigned Medicare billing, California enrollment
Medicare enrollment name: County Of Los Angeles
1,939 clinicians in this Medicare group

NPI 1366453045 (661) 948-8581

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95630 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

$92.61 typical visit price

range $60.44 – $180.85

Typical copayment $23.15 (range $15.11 – $45.21)

Most-billed visit code 99203

Established Patient

$75.03 typical visit price

range $19.88 – $148.15

Typical copayment $18.75 (range $4.97 – $37.03)

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 6

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

ELENA OGAN DMD, INC

Clinic/Center (Dental)