1. Home
  2. Directory
  3. California
  4. Loma Linda
  5. Dentist
  6. NPI Profile

ROYA MAHMOODI
NPI 1336630177
Dentist - Pediatric Dentistry in Loma Linda, CA

Active since May 29, 2018PECOS Enrolled
11092 ANDERSON ST, LOMA LINDA, CA 92350(415) 798-1996 Get Directions Write a Review

NPPES record last updated: January 3, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Roya Mahmoodi NPPES

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

ROYA MAHMOODI (NPI 1336630177) is an individual pediatric dentistry provider in Loma Linda, California, licensed in California (101444) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336630177
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameROYA MAHMOODI
Location Address11092 ANDERSON STLoma Linda, CA 92350-1706
Mailing Address1183 Solano AveAlbany, CA 94706-1637 · (415) 798-1996
Phone(415) 798-1996
Sole ProprietorNo
Enumeration DateMay 29, 2018
Last NPPES UpdateJanuary 3, 2019
✔ NPI 1336630177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in CA · 101444
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
11092 ANDERSON ST, Loma Linda, CA 92350
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roya Mahmoodi is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 92350 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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 20

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

HYUN JI SOPHIA KANG DDS
Dentist (Endodontics)
11092 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4681
DR. JONATHAN ROBERT CHANNER DDS
Dentist
11092 ANDERSON ST, DEPARTMENT OF DENTAL ANESTHESIA
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4611
YEKTA JASMINE ASADI
Dentist
11092 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (949) 878-8979
DR. JUDY HIYOUNG KANG DDS
Dentist
11092 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4000
SAMIR GWALANI DDS
Student in an Organized Health Care Education/Training Program
11092 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4000
YU-CHEN CHENG
Dentist (Pediatric Dentistry)
11092 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4222
DR. JUSTIN KEITH TERRILL D.D.S.
Dentist
11092 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4222
DR. MEL-ANIZI ABANTE BERSABA DDS
Dentist (General Practice)
11092 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-8187

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 Roya Mahmoodi's NPI number?

The NPI number for Roya Mahmoodi is 1336630177. It was assigned to this individual provider in the NPPES registry on May 29, 2018.

Where is Roya Mahmoodi located?

Roya Mahmoodi practices at 11092 Anderson St, Loma Linda, CA 92350. The listed phone number is (415) 798-1996.

What is Roya Mahmoodi's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Roya Mahmoodi enrolled in Medicare?

Yes. Roya Mahmoodi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Roya Mahmoodi was last updated on January 3, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.