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DR. PEGAH KHAZAEI DDS
NPI 1205612355
Dentist in Los Angeles, CA

Active since September 05, 2023
11600 WILSHIRE BLVD STE 504, LOS ANGELES, CA 90025(310) 231-5100 Get Directions Write a Review

NPPES record last updated: July 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 3, 2025, Sep 5, 2023 (2 updates tracked since 2023).

About Dr. Pegah Khazaei Dds NPPES

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

DR. PEGAH KHAZAEI DDS (NPI 1205612355) is an individual dentist in Los Angeles, California, licensed in California (109216) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1205612355
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. PEGAH KHAZAEICredential: DDS
Location Address11600 WILSHIRE BLVD STE 504Los Angeles, CA 90025-1788
Mailing Address11600 Wilshire Blvd Ste 504Los Angeles, CA 90025-1788 · (310) 231-5100
Phone(310) 231-5100
Sole ProprietorYes
Enumeration DateSeptember 5, 2023
Last NPPES UpdateJuly 3, 20252 updates tracked since enumeration
NPPES CertifiedJuly 3, 2025
✔ NPI 1205612355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 109216
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
11600 WILSHIRE BLVD STE 504, Los Angeles, CA 90025
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Accepted Insurance

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

Other Providers at the Same Location NPPES 2

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

DR. JACOB ELISHA D.D.S.
Dentist (Periodontics)
11600 WILSHIRE BLVD STE 504
LOS ANGELES, CA 90025
Los Angeles County (310) 231-5100
DR. HOANG-ANH NGUYEN HO DDS
Dentist
11600 WILSHIRE BLVD STE 504
LOS ANGELES, CA 90025
Los Angeles County (310) 231-5100

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 Khazaei's NPI number?

The NPI number for Pegah Khazaei is 1205612355. It was assigned to this individual provider in the NPPES registry on September 5, 2023.

Where is Pegah Khazaei located?

Pegah Khazaei practices at 11600 Wilshire Blvd Ste 504, Los Angeles, CA 90025. The listed phone number is (310) 231-5100.

What is Pegah Khazaei's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Pegah Khazaei accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list Pegah Khazaei 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 Khazaei was last updated on July 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.