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KAMBIZ GHANDEHARI DDS
NPI 1063523355
Dentist - General Practice in La Mesa, CA

Active since August 31, 2006PECOS Enrolled
8881 FLETCHER PKWY, SUITE 325, LA MESA, CA 91942(619) 697-2800(619) 697-3754 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kambiz Ghandehari Dds NPPES

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

KAMBIZ GHANDEHARI DDS (NPI 1063523355) is an individual general practice provider in La Mesa, California, licensed in California (47475) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063523355
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameKAMBIZ GHANDEHARICredential: DDS
Location Address8881 FLETCHER PKWY, SUITE 325La Mesa, CA 91942-3134
Mailing Address8881 Fletcher Pkwy, Suite 325La Mesa, CA 91942-3134 · (619) 697-2800 · Fax (619) 697-3754
Phone(619) 697-2800
Fax(619) 697-3754
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1063523355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 47475
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

8881 FLETCHER PKWY, La Mesa, CA 91942
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kambiz Ghandehari 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 91942 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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 20

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

DR. MICHELLE CAO M.D.
Family Medicine
8881 FLETCHER PKWY, SUITE 105
LA MESA, CA 91942
San Diego County (858) 499-2600
HODA MELISSA KASHIKAR RN, MSN, NP-C
Nurse Practitioner (Family)
8881 FLETCHER PKWY, SUITE 360
LA MESA, CA 91942
San Diego County (619) 460-2700
GROSSMONT SURGERY CENTER, L.P.
Clinic/Center (Ambulatory Surgical)
8881 FLETCHER PKWY, SUITE 100
LA MESA, CA 91942
San Diego County (619) 698-0930
ERICA RAGEN PA-C
Physician Assistant
8881 FLETCHER PKWY
LA MESA, CA 91942
San Diego County (213) 447-2314
BRUCE M CRABTREE MD INC
Anesthesiology
8881 FLETCHER PKWY
LA MESA, CA 91942
San Diego County (619) 698-0930
KULJINDER S GREWAL M D P C
Ophthalmology
8881 FLETCHER PKWY, SUITE 104
LA MESA, CA 91942
San Diego County (619) 644-1400
DR. SALVATORE TARANTINO M.D.
Internal Medicine
8881 FLETCHER PKWY, STE 370
LA MESA, CA 91942
San Diego County (619) 462-5555
DAVID TIMOTHY BAILEY DPT
Physical Therapist
8881 FLETCHER PKWY
LA MESA, CA 91942
San Diego County (619) 460-0137

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 Kambiz Ghandehari's NPI number?

The NPI number for Kambiz Ghandehari is 1063523355. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Kambiz Ghandehari located?

Kambiz Ghandehari practices at 8881 Fletcher Pkwy Suite 325, La Mesa, CA 91942. The listed phone number is (619) 697-2800.

What is Kambiz Ghandehari's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Kambiz Ghandehari enrolled in Medicare?

Yes. Kambiz Ghandehari is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kambiz Ghandehari was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.