PEDIATRIC DENTISTRY
NPI 1043340227
Dentist - Pediatric Dentistry in Berkeley, CA

Q: What is Katsura Khalil Nakazato Khosrovani Dds Inc.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Active since March 06, 2007

2640 TELEGRAPH AVE, SUITE 101, BERKELEY, CA 94704(510) 848-6494(510) 981-1159 Get Directions Write a Review

NPPES record last updated: March 30, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Pediatric Dentistry NPPES

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

PEDIATRIC DENTISTRY (NPI 1043340227), doing business as Aloha Pediatric Dentistry, is a healthcare organization registered as a pediatric dentistry in Berkeley, California and active in the NPI registry since March 2007. The organization lists Mahi Amerino, Dental Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1043340227

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameKATSURA KHALIL NAKAZATO KHOSROVANI DDS INC.

Location Address2640 TELEGRAPH AVE, SUITE 101Berkeley, CA 94704-3374

Mailing Address2640 Telegraph Ave, Suite 101Berkeley, CA 94704-3374 · (510) 848-6494 · Fax (510) 981-1159

Phone(510) 848-6494

Fax(510) 981-1159

Organization SubpartNo

Authorized OfficialMahi AmerinoDental Practice Administrator · (510) 848-6494

Enumeration DateMarch 6, 2007

Last NPPES UpdateMarch 30, 2022

NPPES CertifiedMarch 30, 2022

✔ NPI 1043340227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in CA · 32728

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

2640 TELEGRAPH AVE, Berkeley, CA 94704

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Other Names 2

Other NamePediatric Dentistry

Doing Business AsAloha Pediatric Dentistry

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

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 Katsura Khalil Nakazato Khosrovani Dds Inc.'s NPI number?

The NPI number for Katsura Khalil Nakazato Khosrovani Dds Inc. is 1043340227. It was assigned to this organization in the NPPES registry on March 6, 2007. The provider is doing business as Aloha Pediatric Dentistry. The provider is also known as Pediatric Dentistry.

Where is Katsura Khalil Nakazato Khosrovani Dds Inc. located?

Katsura Khalil Nakazato Khosrovani Dds Inc. is located at 2640 Telegraph Ave Suite 101, Berkeley, CA 94704. The listed phone number is (510) 848-6494.

What is Katsura Khalil Nakazato Khosrovani Dds Inc.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Katsura Khalil Nakazato Khosrovani Dds Inc. was last updated on March 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.