DR. PEZHMAN MANSOURIAN D.D.S.
NPI 1720003668
Dentist in Camarillo, CA

Q: What is Pezhman Mansourian's NPI number?

The NPI number for Pezhman Mansourian is 1720003668. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Q: What is Pezhman Mansourian's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since July 13, 2006PECOS Enrolled

4015 MISSION OAKS BLVD, SUITE A, CAMARILLO, CA 93012(805) 987-2701(805) 987-7092 Get Directions Write a Review

NPPES record last updated: August 15, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Pezhman Mansourian D.d.s. NPPES

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

DR. PEZHMAN MANSOURIAN D.D.S. (NPI 1720003668) is an individual dentist in Camarillo, California, licensed in California (47522) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720003668

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. PEZHMAN MANSOURIANCredential: D.D.S.

Location Address4015 MISSION OAKS BLVD, SUITE ACamarillo, CA 93012-5156

Mailing Address4015 Mission Oaks Blvd, Suite ACamarillo, CA 93012-5156 · (805) 987-2701 · Fax (805) 987-7092

Phone(805) 987-2701

Fax(805) 987-7092

Sole ProprietorNo

Enumeration DateJuly 13, 2006

Last NPPES UpdateAugust 15, 2016

✔ NPI 1720003668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 47522

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

4015 MISSION OAKS BLVD, Camarillo, CA 93012

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Other Identifiers 1

Other421669499Federal Tax Id Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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. Pezhman Mansourian 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 93012 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

$95.28 typical visit price

range $62.32 – $185.36

Typical copayment $23.82 (range $15.58 – $46.34)

Most-billed visit code 99203

Established Patient

$77.11 typical visit price

range $20.68 – $151.85

Typical copayment $19.27 (range $5.17 – $37.96)

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.

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 Pezhman Mansourian's NPI number?

The NPI number for Pezhman Mansourian is 1720003668. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Pezhman Mansourian located?

Pezhman Mansourian practices at 4015 Mission Oaks Blvd Suite A, Camarillo, CA 93012. The listed phone number is (805) 987-2701.

What is Pezhman Mansourian's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Pezhman Mansourian enrolled in Medicare?

Yes. Pezhman Mansourian is registered in the Medicare PECOS enrollment system.

What insurance does Pezhman Mansourian accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 4 other insurers list Pezhman Mansourian 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 Pezhman Mansourian was last updated on August 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.