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ELMIRA KHODAPANAH D.D.S
NPI 1750595195
Dentist - General Practice in San Diego, CA

Active since May 09, 2007PECOS Enrolled
2333 CAMINO DEL RIO S STE 140, SAN DIEGO, CA 92108(619) 574-1810(619) 574-1326 Get Directions Write a Review

NPPES record last updated: September 17, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Elmira Khodapanah D.d.s NPPES

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

ELMIRA KHODAPANAH D.D.S (NPI 1750595195) is an individual general practice provider in San Diego, California, licensed in California (43989) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750595195
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameELMIRA KHODAPANAHCredential: D.D.S
Location Address2333 CAMINO DEL RIO S STE 140San Diego, CA 92108-3607
Mailing Address12079 World Trade Dr Unit 4San Diego, CA 92128-4393 · (858) 485-8855
Phone(619) 574-1810
Fax(619) 574-1326
Sole ProprietorNo
Enumeration DateMay 9, 2007
Last NPPES UpdateSeptember 17, 2009
✔ NPI 1750595195 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 · 43989
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.
2333 CAMINO DEL RIO S STE 140, San Diego, CA 92108
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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elmira Khodapanah 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.

Medicare Billing Reassignment

Medicare enrollment records show Elmira Khodapanah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Golden Valley Health Center
352 mi
Federally Qualified Health Center (FQHC)
1405 CALIFORNIA AVE
Dos Palos, CA 93620
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Golden Valley Health Centers
  • 440 clinicians in this Medicare group
NPI 1770567778 (209) 392-2111

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 92108 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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 3

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

ELMIRA KHODAPANAH DDS INC
Dentist (General Practice)
2333 CAMINO DEL RIO S STE 140
SAN DIEGO, CA 92108
San Diego County (619) 574-1810
MISSION VALLEY DENTAL ARTS
Dentist
2333 CAMINO DEL RIO S STE 140
SAN DIEGO, CA 92108
San Diego County (619) 574-1810
YASAMAN SARDARI DDS PC
Dentist (General Practice)
2333 CAMINO DEL RIO S STE 140
SAN DIEGO, CA 92108
San Diego County (619) 574-1810

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 Elmira Khodapanah's NPI number?

The NPI number for Elmira Khodapanah is 1750595195. It was assigned to this individual provider in the NPPES registry on May 9, 2007.

Where is Elmira Khodapanah located?

Elmira Khodapanah practices at 2333 Camino Del Rio S Ste 140, San Diego, CA 92108. The listed phone number is (619) 574-1810.

What is Elmira Khodapanah's specialty?

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

Is Elmira Khodapanah enrolled in Medicare?

Yes. Elmira Khodapanah is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elmira Khodapanah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elmira Khodapanah reassigns Medicare benefits to Golden Valley Health Center (Dos Palos, 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 Elmira Khodapanah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elmira Khodapanah 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 3 other insurers list Elmira Khodapanah 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 Elmira Khodapanah was last updated on September 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.