DR. AMENEH KHOSROVANI DDS
NPI 1053614198
Dentist - Pediatric Dentistry in Berkeley, CA

Active since December 13, 2010
3010 COLBY ST, SUITE 217, BERKELEY, CA 94705(510) 848-6494(510) 848-9329 Get Directions Write a Review

NPPES record last updated: December 13, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Ameneh Khosrovani Dds NPPES

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

DR. AMENEH KHOSROVANI DDS (NPI 1053614198) is an individual pediatric dentistry provider in Berkeley, California, licensed in California (48132) and active in the NPI registry since December 2010.

NPPES Registry Identity

NPI1053614198
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. AMENEH KHOSROVANICredential: DDS
Location Address3010 COLBY ST, SUITE 217Berkeley, CA 94705-2091
Mailing Address3010 Colby St, Suite 217Berkeley, CA 94705-2091 · (510) 848-6494 · Fax (510) 848-9329
Fax(510) 848-9329
Sole ProprietorNo
Enumeration DateDecember 13, 2010
NPI 1053614198 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 · 48132
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.
3010 COLBY ST, Berkeley, CA 94705

Other Providers at the Same Location NPPES 20

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

Orthopaedic Surgery
3010 COLBY ST, 118
BERKELEY, CA 94705
Specialist
3010 COLBY ST, SUITE 118
BERKELEY, CA 94705
Orthopaedic Surgery
3010 COLBY ST, SUITE 118
BERKELEY, CA 94705
Dentist (General Practice)
3010 COLBY ST, 217
BERKELEY, CA 94705
Ophthalmology
3010 COLBY ST, SUITE 114
BERKELEY, CA 94705
Ophthalmology
3010 COLBY ST, STE 114
BERKELEY, CA 94705
Dentist (Orthodontics and Dentofacial Orthopedics)
3010 COLBY ST, #220
BERKELEY, CA 94705
Ophthalmology
3010 COLBY ST, STE 114
BERKELEY, CA 94705

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 Ameneh Khosrovani's NPI number?

The NPI number for Ameneh Khosrovani is 1053614198. It was assigned to this individual provider in the NPPES registry on December 13, 2010.

Where is Ameneh Khosrovani located?

Ameneh Khosrovani practices at 3010 Colby St Suite 217, Berkeley, CA 94705. The listed phone number is (510) 848-6494.

What is Ameneh Khosrovani'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 Ameneh Khosrovani was last updated on December 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.