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DR. SAM S KHORSANDI D.D.S
NPI 1629109996
Dentist - Periodontics in Encino, CA

Active since March 08, 2007PECOS Enrolled
16542 VENTURA BLVD, SUITE 506, ENCINO, CA 91436(818) 981-4867 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Sam S Khorsandi D.d.s NPPES

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

DR. SAM S KHORSANDI D.D.S (NPI 1629109996) is an individual periodontics provider in Encino, California, licensed in California (36257) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629109996
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. SAM S KHORSANDICredential: D.D.S
Location Address16542 VENTURA BLVD, SUITE 506Encino, CA 91436-2005
Mailing Address16542 Ventura Blvd, Suite 506Encino, CA 91436-2005 · (818) 981-4867
Phone(818) 981-4867
Sole ProprietorYes
Enumeration DateMarch 8, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1629109996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in CA · 36257
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.

16542 VENTURA BLVD, Encino, CA 91436
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Other Identifiers 1

MedicaidB3625701CA

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. Sam S Khorsandi 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 91436 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 19

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

KELLI BROOKE MILLER MSW
Social Worker (Clinical)
16542 VENTURA BLVD, SUITE 320
ENCINO, CA 91436
Los Angeles County (818) 395-5447
DR. DAN ROSEN DDS
Dentist (General Practice)
16542 VENTURA BLVD, SUITE 505
ENCINO, CA 91436
Los Angeles County (818) 907-6736
DALIA KENIG
Counselor (Mental Health)
16542 VENTURA BLVD, SUITE 320
ENCINO, CA 91436
Los Angeles County (818) 501-8029
LEO KASSABIAN M.D.
Internal Medicine (Cardiovascular Disease)
16542 VENTURA BLVD, SUITE 402
ENCINO, CA 91436
Los Angeles County (818) 782-5041
HINZE PSYCHOLOGICAL SERVICES, PC
Psychologist (Clinical)
16542 VENTURA BLVD, SUITE 402
ENCINO, CA 91436
Los Angeles County (818) 788-2400
DR. HOVHANNESS IVAN SHNORHOKIAN D.M.D.
Dentist (Orthodontics and Dentofacial Orthopedics)
16542 VENTURA BLVD, SUITE 515
ENCINO, CA 91436
Los Angeles County (818) 906-8008
JANA ALBRIGHT MFTI
Marriage & Family Therapist
16542 VENTURA BLVD, SUITE 320
ENCINO, CA 91436
Los Angeles County (818) 912-5294
DR. MASOUD SADIGHPOUR M.D.
Internal Medicine
16542 VENTURA BLVD, 302
ENCINO, CA 91436
Los Angeles County (818) 461-9070

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 Sam Khorsandi's NPI number?

The NPI number for Sam Khorsandi is 1629109996. It was assigned to this individual provider in the NPPES registry on March 8, 2007.

Where is Sam Khorsandi located?

Sam Khorsandi practices at 16542 Ventura Blvd Suite 506, Encino, CA 91436. The listed phone number is (818) 981-4867.

What is Sam Khorsandi's specialty?

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

Is Sam Khorsandi enrolled in Medicare?

Yes. Sam Khorsandi is registered in the Medicare PECOS enrollment system.

What insurance does Sam Khorsandi 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 Sam Khorsandi 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 Sam Khorsandi was last updated on July 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.