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NICOLE EDALAT PAJOUH
NPI 1760200836
Dentist in Beverly Hills, CA

Active since September 28, 2024PECOS Enrolled
1054 LOMA VISTA DR, BEVERLY HILLS, CA 90210(310) 270-6787 Get Directions Write a Review

NPPES record last updated: September 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole Edalat Pajouh NPPES

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

NICOLE EDALAT PAJOUH (NPI 1760200836) is an individual dentist in Beverly Hills, California, licensed in California (110860) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Maywood.

NPPES Registry Identity

NPI1760200836
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameNICOLE EDALAT PAJOUH
Location Address1054 LOMA VISTA DRBeverly Hills, CA 90210-2648
Mailing Address1054 Loma Vista DrBeverly Hills, CA 90210-2648 · (310) 270-6787
Phone(310) 270-6787
Sole ProprietorYes
Enumeration DateSeptember 28, 2024
NPPES CertifiedSeptember 27, 2024
✔ NPI 1760200836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 110860
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.
1054 LOMA VISTA DR, Beverly Hills, CA 90210
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Secondary Practice Location 1

Location 14332 Slauson AveMaywood, CA 90270-2848 · Phone (310) 270-6787

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)

Nicole Edalat Pajouh 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 90210 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 2

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

DR. FARAZ EDALATPAJOUH DDS
Dentist (Orthodontics and Dentofacial Orthopedics)
1054 LOMA VISTA DR
BEVERLY HILLS, CA 90210
Los Angeles County (310) 529-5685
RYAN EDALATPAJOUH
Dentist
1054 LOMA VISTA DR
BEVERLY HILLS, CA 90210
Los Angeles County (310) 529-7292

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 Nicole Edalat Pajouh's NPI number?

The NPI number for Nicole Edalat Pajouh is 1760200836. It was assigned to this individual provider in the NPPES registry on September 28, 2024.

Where is Nicole Edalat Pajouh located?

Nicole Edalat Pajouh practices at 1054 Loma Vista Dr, Beverly Hills, CA 90210. The listed phone number is (310) 270-6787.

What is Nicole Edalat Pajouh's specialty?

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

Is Nicole Edalat Pajouh enrolled in Medicare?

Yes. Nicole Edalat Pajouh is registered in the Medicare PECOS enrollment system.

What insurance does Nicole Edalat Pajouh 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 Nicole Edalat Pajouh 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 Nicole Edalat Pajouh was last updated on September 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.