DENA KHAEF PANAH
NPI 1366949828
Student in an Organized Health Care Education/Training Program in La Jolla, CA

Active since April 11, 2018PECOS EnrolledAccepts Medicare Assignment
9500 GILMAN DR, LA JOLLA, CA 92093(858) 534-0455 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 27, 2025, Apr 11, 2018 (2 updates tracked since 2018).

About Dena Khaef Panah NPPES

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

DENA KHAEF PANAH (NPI 1366949828) is an individual student in an organized health care education/training program in La Jolla, California and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1366949828
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDENA KHAEF PANAH
Location Address9500 GILMAN DRLa Jolla, CA 92093-5004
Mailing Address2114 Wildflower CirBrea, CA 92821-4437 · (310) 733-0123
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 11, 2018
Last NPPES UpdateJune 27, 20252 updates tracked since enumeration
✔ NPI 1366949828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
9500 GILMAN DR, La Jolla, CA 92093

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dena Khaef Panah is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698281095
PECOS Enrollment IDI20250722004275
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.

Medicare Billing Reassignment

Medicare enrollment records show Dena Khaef Panah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Maintenance Organization
1288 CAMINO DEL RIO N
San Diego, CA 92108
  • Reassigned Medicare billing, California enrollment
  • 5,228 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Radiology (Diagnostic Radiology)
9500 GILMAN DR
LA JOLLA, CA 92093
Nurse Practitioner (Adult Health)
9500 GILMAN DR
LA JOLLA, CA 92093
Radiology (Diagnostic Radiology)
9500 GILMAN DR
LA JOLLA, CA 92093
Internal Medicine
9500 GILMAN DR, MAIL CODE 9111-H
LA JOLLA, CA 92093
Nurse Practitioner (Adult Health)
9500 GILMAN DR, # 0039
LA JOLLA, CA 92093
Specialist/Technologist (Athletic Trainer)
9500 GILMAN DR, MC0529
LA JOLLA, CA 92093
Orthopaedic Surgery
9500 GILMAN DR
LA JOLLA, CA 92093
Student in an Organized Health Care Education/Training Program
9500 GILMAN DR
LA JOLLA, CA 92093

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 Dena Khaef Panah's NPI number?

The NPI number for Dena Khaef Panah is 1366949828. It was assigned to this individual provider in the NPPES registry on April 11, 2018.

Where is Dena Khaef Panah located?

Dena Khaef Panah practices at 9500 Gilman Dr, La Jolla, CA 92093. The listed phone number is (858) 534-0455.

What is Dena Khaef Panah's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Dena Khaef Panah enrolled in Medicare?

Yes. Dena Khaef Panah is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Dena Khaef Panah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dena Khaef Panah reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dena Khaef Panah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dena Khaef Panah was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.