DR. PEGAH POURRAHIMI D.D.S.
NPI 1184994717
Dentist in Thousand Oaks, CA
About Dr. Pegah Pourrahimi D.d.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PEGAH POURRAHIMI D.D.S. (NPI 1184994717) is an individual dentist in Thousand Oaks, California, licensed in California (58614) and active in the NPI registry since January 2012. She has opted out of Medicare through March 8, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Pegah Pourrahimi D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 8, 2016 through March 8, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91360 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 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
THOUSAND OAKS, CA 91360
THOUSAND OAKS, CA 91360
THOUSAND OAKS, CA 91360
THOUSAND OAKS, CA 91360
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 Pourrahimi's NPI number?
The NPI number for Pegah Pourrahimi is 1184994717. It was assigned to this individual provider in the NPPES registry on January 12, 2012.
Where is Pegah Pourrahimi located?
Pegah Pourrahimi practices at 555 Marin St Suite 150, Thousand Oaks, CA 91360. The listed phone number is (805) 405-4692.
What is Pegah Pourrahimi's specialty?
The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.
Is Pegah Pourrahimi enrolled in Medicare?
No. Pegah Pourrahimi has opted out of Medicare through March 8, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does Pegah Pourrahimi accept?
Health plans from Humana list Pegah Pourrahimi 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 Pourrahimi was last updated on March 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Dr. Pegah Pourrahimi, D.D.S. · NPI 1184994717
Dentist provider in Thousand Oaks, California. Individual provider, active in the CMS NPPES registry since January 12, 2012.
## Identity
- **NPI:** 1184994717 (Entity type: Individual)
- **Enumerated:** January 12, 2012
- **Primary specialty:** Dentist · taxonomy 122300000X
- **State license:** 58614 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 555 MARIN ST, SUITE 150, Thousand Oaks, CA 91360-4236
- **Phone:** (805) 405-4692
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through March 8, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** March 28, 2014
- **Other identifiers:** Other 46-2765180 (CA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1184994717) · Data from the CMS NPPES public registry.