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PEGAH SHAYESTEH KHORRAM DDS
NPI 1164949111
Dentist - General Practice in Woodland Hills, CA

Active since August 29, 2017
22233 BUENA VENTURA ST, WOODLAND HILLS, CA 91364(818) 624-4846(818) 624-4846 Get Directions Write a Review

NPPES record last updated: March 9, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 9, 2018, Aug 29, 2017 (2 updates tracked since 2017).

About Pegah Shayesteh Khorram Dds NPPES

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

PEGAH SHAYESTEH KHORRAM DDS (NPI 1164949111) is an individual general practice provider in Woodland Hills, California, licensed in California (101965) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1164949111
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NamePEGAH SHAYESTEH KHORRAMCredential: DDS
Location Address22233 BUENA VENTURA STWoodland Hills, CA 91364-5007
Mailing Address6846 Reseda Blvd Ste CReseda, CA 91335-8512 · (818) 578-5170
Phone(818) 624-4846
Fax(818) 624-4846
Sole ProprietorYes
Enumeration DateAugust 29, 2017
Last NPPES UpdateMarch 9, 20182 updates tracked since enumeration
✔ NPI 1164949111 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 · 101965
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.
22233 BUENA VENTURA ST, Woodland Hills, CA 91364
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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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

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 Pegah Shayesteh Khorram's NPI number?

The NPI number for Pegah Shayesteh Khorram is 1164949111. It was assigned to this individual provider in the NPPES registry on August 29, 2017.

Where is Pegah Shayesteh Khorram located?

Pegah Shayesteh Khorram practices at 22233 Buena Ventura St, Woodland Hills, CA 91364. The listed phone number is (818) 624-4846.

What is Pegah Shayesteh Khorram's specialty?

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

What insurance does Pegah Shayesteh Khorram accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 2 other insurers list Pegah Shayesteh Khorram 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 Pegah Shayesteh Khorram was last updated on March 9, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.