DR. BAHAREH POUYA DDS
NPI 1750269205
Dentist - Orofacial Pain in Los Angeles, CA

Active since August 23, 2025PECOS Enrolled
10833 LE CONTE AVE # CHS10157, LOS ANGELES, CA 90095(310) 794-1929(310) 206-5302 Get Directions Write a Review

NPPES record last updated: August 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Bahareh Pouya Dds NPPES

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

DR. BAHAREH POUYA DDS (NPI 1750269205) is an individual orofacial pain provider in Los Angeles, California, licensed in Texas (41820) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1750269205
Entity TypeIndividualFemale
Primary Taxonomy1223X2210X
Provider Legal NameDR. BAHAREH POUYACredential: DDS
Location Address10833 LE CONTE AVE # CHS10157Los Angeles, CA 90095-3075
Mailing Address10833 Le Conte Ave # Chs10157Los Angeles, CA 90095-3075 · (323) 645-0599 · Fax (310) 206-5302
Fax(310) 206-5302
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 23, 2025
NPPES CertifiedAugust 23, 2025
NPI 1750269205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orofacial PainDental Providers
Taxonomy Code1223X2210X
License Licensed in TX · 41820
Definition
A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.
10833 LE CONTE AVE # CHS10157, Los Angeles, CA 90095

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. Bahareh Pouya Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880183953
PECOS Enrollment IDI20251029001839
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 90095 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 (Orofacial Pain)
10833 LE CONTE AVE # CHS10157
LOS ANGELES, CA 90095

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 Bahareh Pouya's NPI number?

The NPI number for Bahareh Pouya is 1750269205. It was assigned to this individual provider in the NPPES registry on August 23, 2025.

Where is Bahareh Pouya located?

Bahareh Pouya practices at 10833 Le Conte Ave # Chs10157, Los Angeles, CA 90095. The listed phone number is (310) 794-1929.

What is Bahareh Pouya's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orofacial Pain, with taxonomy code 1223X2210X.

Is Bahareh Pouya enrolled in Medicare?

Yes. Bahareh Pouya is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bahareh Pouya was last updated on August 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.