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DR. FAHEEM QAZI DDS
NPI 1407300130
Dentist - General Practice in Los Angeles, CA

Active since August 10, 2016PECOS Enrolled
11764 WILMINGTON AVE, LOS ANGELES, CA 90059(323) 484-9260 Get Directions Write a Review

NPPES record last updated: June 22, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 22, 2018, Aug 10, 2016 (2 updates tracked since 2016).

About Dr. Faheem Qazi Dds NPPES

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

DR. FAHEEM QAZI DDS (NPI 1407300130) is an individual general practice provider in Los Angeles, California, licensed in California (100698) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS and maintains a secondary practice location in Hermosa Beach.

NPPES Registry Identity

NPI1407300130
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. FAHEEM QAZICredential: DDS
Location Address11764 WILMINGTON AVELos Angeles, CA 90059-2553
Mailing Address4456 Via PinzonPalos Verdes Estates, CA 90274-1558 · (310) 613-3153
Phone(323) 484-9260
Sole ProprietorYes
Enumeration DateAugust 10, 2016
Last NPPES UpdateJune 22, 20182 updates tracked since enumeration
✔ NPI 1407300130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 100698
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.
11764 WILMINGTON AVE, Los Angeles, CA 90059
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Secondary Practice Location 1

Location 11559 Pacific Coast Hwy, Suite 101Hermosa Beach, CA 90254-3214 · Phone (310) 504-1199

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Faheem Qazi Dds 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 90059 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 2

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

CANDICE SHAHANDEH-RAD
Dentist (General Practice)
11764 WILMINGTON AVE
LOS ANGELES, CA 90059
Los Angeles County (310) 962-1116
MR. SEAN EDWARD LEE DENTAL ASSISTANT
Dental Assistant
11764 WILMINGTON AVE
LOS ANGELES, CA 90059
Los Angeles County (323) 484-9260

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 Faheem Qazi's NPI number?

The NPI number for Faheem Qazi is 1407300130. It was assigned to this individual provider in the NPPES registry on August 10, 2016.

Where is Faheem Qazi located?

Faheem Qazi practices at 11764 Wilmington Ave, Los Angeles, CA 90059. The listed phone number is (323) 484-9260.

What is Faheem Qazi's specialty?

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

Is Faheem Qazi enrolled in Medicare?

Yes. Faheem Qazi is registered in the Medicare PECOS enrollment system.

What insurance does Faheem Qazi accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Faheem Qazi 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 Faheem Qazi was last updated on June 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.