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DR. JAY KHORSANDI D.D.S.
NPI 1205855293
Dentist - General Practice in Encino, CA

Active since July 19, 2006Opted out of Medicare · through Jan 11, 2027
5400 BALBOA BLVD STE 120, ENCINO, CA 91316(818) 205-1122(818) 386-8963 Get Directions Write a Review

NPPES record last updated: April 9, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jay Khorsandi D.d.s. NPPES

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

DR. JAY KHORSANDI D.D.S. (NPI 1205855293) is an individual general practice provider in Encino, California, licensed in California (49561) and active in the NPI registry since July 2006. He has opted out of Medicare through January 11, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1205855293
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JAY KHORSANDICredential: D.D.S.
Location Address5400 BALBOA BLVD STE 120Encino, CA 91316-5200
Mailing Address5400 Balboa Blvd Ste 120Encino, CA 91316-5200 · (818) 205-1122
Phone(818) 205-1122
Fax(818) 386-8963
Sole ProprietorYes
Enumeration DateJuly 19, 2006
Last NPPES UpdateApril 9, 2019
✔ NPI 1205855293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in CA · 49561✔ Licensed in NY · 056821
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.
5400 BALBOA BLVD STE 120, Encino, CA 91316
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Dr. Jay Khorsandi 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 January 11, 2019 through January 11, 2027.

Opt-Out Effective DateJanuary 11, 2019
Opt-Out In Effect ThroughJanuary 11, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91316 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
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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 5

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

JONATHAN GREENBURG, DDS, INC
Dentist (General Practice)
5400 BALBOA BLVD STE 120
ENCINO, CA 91316
Los Angeles County (818) 205-1122
GREENBURG, DDS, PC
Dentist (General Practice)
5400 BALBOA BLVD STE 120
ENCINO, CA 91316
Los Angeles County (818) 205-1122
IKECHUKWU ARENE M.D.
Internal Medicine
5400 BALBOA BLVD STE 120
ENCINO, CA 91316
Los Angeles County (818) 290-3289
DR. JONATHAN GREENBURG D.D.S.
Dentist (General Practice)
5400 BALBOA BLVD STE 120
ENCINO, CA 91316
Los Angeles County (818) 205-1122
ENERA5
Internal Medicine
5400 BALBOA BLVD STE 120
ENCINO, CA 91316
Los Angeles County (818) 290-3289

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 Jay Khorsandi's NPI number?

The NPI number for Jay Khorsandi is 1205855293. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Jay Khorsandi located?

Jay Khorsandi practices at 5400 Balboa Blvd Ste 120, Encino, CA 91316. The listed phone number is (818) 205-1122.

What is Jay Khorsandi's specialty?

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

Is Jay Khorsandi enrolled in Medicare?

No. Jay Khorsandi has opted out of Medicare through January 11, 2027. 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 Jay Khorsandi 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 and 6 other insurers list Jay Khorsandi 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 Jay Khorsandi was last updated on April 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.