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DR. MANOUCHEHR KHANDADASH M.D.
NPI 1164403929
Pediatrics in Palmdale, CA

Active since November 09, 2005PECOS Enrolled
38440 5TH ST W, PALMDALE, CA 93551(661) 575-2725 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Manouchehr Khandadash M.d. NPPES

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

DR. MANOUCHEHR KHANDADASH M.D. (NPI 1164403929) is an individual pediatrics provider in Palmdale, California, licensed in California (C51781) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1164403929
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. MANOUCHEHR KHANDADASHCredential: M.D.
Location Address38440 5TH ST WPalmdale, CA 93551-4498
Mailing Address38440 5th St WPalmdale, CA 93551-4498 · (661) 214-7718 · Fax (661) 214-7719
Phone(661) 575-2725
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateNovember 9, 2005
Last NPPES UpdateJanuary 27, 2026
NPPES CertifiedJanuary 27, 2026
✔ NPI 1164403929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in CA · C51781✔ Licensed in NY · 216995-1
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
38440 5TH ST W, Palmdale, CA 93551
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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)

Dr. Manouchehr Khandadash M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2365941135
PECOS Enrollment IDI20250910003378
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 93551 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
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 3

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

MR. RAMON MEDINA P.A.
Physician Assistant
38440 5TH ST W
PALMDALE, CA 93551
Los Angeles County (661) 214-7718
ERICK EDUARDO FERNANDEZ VIDALES FNP
Nurse Practitioner (Family)
38440 5TH ST W
PALMDALE, CA 93551
Los Angeles County (661) 214-7718
ACCEL MEDICAL GROUP INC
General Practice
38440 5TH ST W
PALMDALE, CA 93551
Los Angeles County (661) 214-7718

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 Manouchehr Khandadash's NPI number?

The NPI number for Manouchehr Khandadash is 1164403929. It was assigned to this individual provider in the NPPES registry on November 9, 2005.

Where is Manouchehr Khandadash located?

Manouchehr Khandadash practices at 38440 5th St W, Palmdale, CA 93551. The listed phone number is (661) 575-2725.

What is Manouchehr Khandadash's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Manouchehr Khandadash enrolled in Medicare?

Yes. Manouchehr Khandadash is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Manouchehr Khandadash was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.