DR. ABDOLREZA SAFFARI-NAZARI DDS
NPI 1588779144
Dentist - General Practice in Hawthorne, CA

Active since August 21, 2006PECOS Enrolled
11540 HAWTHORNE BLVD STE B, HAWTHORNE, CA 90250(818) 913-3158(424) 269-0412 Get Directions Write a Review

NPPES record last updated: January 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Abdolreza Saffari-nazari Dds NPPES

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

DR. ABDOLREZA SAFFARI-NAZARI DDS (NPI 1588779144) is an individual general practice provider in Hawthorne, California, licensed in California (53271) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588779144
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ABDOLREZA SAFFARI-NAZARICredential: DDS
Location Address11540 HAWTHORNE BLVD STE BHawthorne, CA 90250-2367
Mailing Address11540 Hawthorne Blvd Ste BHawthorne, CA 90250-2367 · (818) 913-3158 · Fax (424) 269-0412
Fax(424) 269-0412
Sole ProprietorYes
Enumeration DateAugust 21, 2006
Last NPPES UpdateJanuary 4, 2025
NPPES CertifiedJanuary 4, 2025
✔ NPI 1588779144 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 · 53271
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.
11540 HAWTHORNE BLVD STE B, Hawthorne, CA 90250

Other Identifiers 1

Other20-5166763CA · Tax Identification Number

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Abdolreza Saffari-nazari 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.

Medicare Billing Reassignment

Medicare enrollment records show Abdolreza Saffari-nazari reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
5220 PACIFIC CONCOURSE DR, SUITE #120
Los Angeles, CA 90045
  • Reassigned Medicare billing, California enrollment
  • 18 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90250 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

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

Dentist (General Practice)
11540 HAWTHORNE BLVD STE B
HAWTHORNE, CA 90250

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 Abdolreza Saffari-nazari's NPI number?

The NPI number for Abdolreza Saffari-nazari is 1588779144. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Abdolreza Saffari-nazari located?

Abdolreza Saffari-nazari practices at 11540 Hawthorne Blvd Ste B, Hawthorne, CA 90250. The listed phone number is (818) 913-3158.

What is Abdolreza Saffari-nazari's specialty?

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

Is Abdolreza Saffari-nazari enrolled in Medicare?

Yes. Abdolreza Saffari-nazari is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Abdolreza Saffari-nazari's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abdolreza Saffari-nazari reassigns Medicare benefits to Fulbright Dental Group, PC (Los Angeles, 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 Abdolreza Saffari-nazari's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Abdolreza Saffari-nazari accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Florida Combined Life and HRI Dental & Vision and 4 other insurers list Abdolreza Saffari-nazari 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 Abdolreza Saffari-nazari was last updated on January 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.