MITRA MASHREGHI DMD
NPI 1073729232
Dentist in North Hollywood, CA
About Mitra Mashreghi Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MITRA MASHREGHI DMD (NPI 1073729232) is an individual dentist in North Hollywood, California, licensed in California (55376) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mitra Mashreghi Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mitra Mashreghi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90068
- Reassigned Medicare billing, California enrollment
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 91602 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NORTH HOLLYWOOD, CA 91602
NORTH HOLLYWOOD, CA 91602
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 Mashreghi's NPI number?
The NPI number for Mitra Mashreghi is 1073729232. It was assigned to this individual provider in the NPPES registry on May 15, 2007.
Where is Mitra Mashreghi located?
Mitra Mashreghi practices at 4789 Vineland Ave # 202, North Hollywood, CA 91602. The listed phone number is (818) 980-1200.
What is Mitra Mashreghi's specialty?
The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.
Is Mitra Mashreghi enrolled in Medicare?
Yes. Mitra Mashreghi is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mitra Mashreghi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mitra Mashreghi reassigns Medicare benefits to Mitra Mashreghi Dmd Dental Corporation (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mitra Mashreghi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mitra Mashreghi accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life list Mitra Mashreghi 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 Mashreghi was last updated on October 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Mitra Mashreghi, DMD · NPI 1073729232
Dentist provider in North Hollywood, California. Individual provider, active in the CMS NPPES registry since May 15, 2007.
## Identity
- **NPI:** 1073729232 (Entity type: Individual)
- **Enumerated:** May 15, 2007
- **Primary specialty:** Dentist · taxonomy 122300000X
- **State license:** 55376 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4789 VINELAND AVE, # 202, North Hollywood, CA 91602-3518
- **Phone:** (818) 980-1200 · **Fax:** (818) 980-1233
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Mitra Mashreghi Dmd Dental Corporation (NPI 1932455631, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 4, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1073729232) · Data from the CMS NPPES public registry.