DR. MOHAMED IHSAN KAYALI D.D.S.
NPI 1477612406
Dentist - Periodontics in San Dimas, CA

Active since December 06, 2006PECOS Enrolled
1111 W COVINA BLVD, SUITE 220, SAN DIMAS, CA 91773(909) 599-9510(909) 599-1610 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mohamed Ihsan Kayali D.d.s. NPPES

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

DR. MOHAMED IHSAN KAYALI D.D.S. (NPI 1477612406) is an individual periodontics provider in San Dimas, California, licensed in California (44495) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477612406
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. MOHAMED IHSAN KAYALICredential: D.D.S.
Location Address1111 W COVINA BLVD, SUITE 220San Dimas, CA 91773-3205
Mailing Address1111 W Covina Blvd, Suite 220San Dimas, CA 91773-3205 · (909) 599-9510 · Fax (909) 599-1610
Fax(909) 599-1610
Sole ProprietorYes
Enumeration DateDecember 6, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1477612406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in CA · 44495
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
1111 W COVINA BLVD, San Dimas, CA 91773

Accepted 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. Mohamed Ihsan Kayali D.d.s. 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 91773 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 10

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

Marriage & Family Therapist
1111 W COVINA BLVD
SAN DIMAS, CA 91773
Dentist (General Practice)
1111 W COVINA BLVD, SUITE 210
SAN DIMAS, CA 91773
Marriage & Family Therapist
1111 W COVINA BLVD
SAN DIMAS, CA 91773
Dentist (General Practice)
1111 W COVINA BLVD, SUITE 240
SAN DIMAS, CA 91773
Specialist/Technologist (Speech-Language Assistant)
1111 W COVINA BLVD
SAN DIMAS, CA 91773
Counselor (Mental Health)
1111 W COVINA BLVD
SAN DIMAS, CA 91773
Physical Therapist
1111 W COVINA BLVD, SUITE 100
SAN DIMAS, CA 91773
Dentist (Orthodontics and Dentofacial Orthopedics)
1111 W COVINA BLVD, SUITE 230
SAN DIMAS, CA 91773

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 Mohamed Kayali's NPI number?

The NPI number for Mohamed Kayali is 1477612406. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Where is Mohamed Kayali located?

Mohamed Kayali practices at 1111 W Covina Blvd Suite 220, San Dimas, CA 91773. The listed phone number is (909) 599-9510.

What is Mohamed Kayali's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Mohamed Kayali enrolled in Medicare?

Yes. Mohamed Kayali is registered in the Medicare PECOS enrollment system.

What insurance does Mohamed Kayali 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 6 other insurers list Mohamed Kayali 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 Mohamed Kayali was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.