KHANSA KHUSRO DDS
NPI 1780420059
Dentist - General Practice in Newhall, CA

Active since July 05, 2024PECOS Enrolled
23130 LYONS AVE, NEWHALL, CA 91321(661) 219-0001 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 11, 2025, Jul 5, 2024 (2 updates tracked since 2024).

About Khansa Khusro Dds NPPES

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

KHANSA KHUSRO DDS (NPI 1780420059) is an individual general practice provider in Newhall, California, licensed in California (DDS111020) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780420059
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameKHANSA KHUSROCredential: DDS
Location Address23130 LYONS AVENewhall, CA 91321-2631
Mailing Address1927 Clarkia StSimi Valley, CA 93065-0213 · (805) 667-7751
Sole ProprietorNo
Enumeration DateJuly 5, 2024
Last NPPES UpdateFebruary 11, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2025
NPI 1780420059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in CA · DDS111020 Licensed in MI · 2901602297
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.
23130 LYONS AVE, Newhall, CA 91321

Accepted 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)

Khansa Khusro Dds 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 91321 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 3

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

Dentist (Orthodontics and Dentofacial Orthopedics)
23130 LYONS AVE
SANTA CLARITA, CA 91321
Dentist (General Practice)
23130 LYONS AVE
SANTA CLARITA, CA 91321
Dentist (General Practice)
23130 LYONS AVE
SANTA CLARITA, CA 91321

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 Khansa Khusro's NPI number?

The NPI number for Khansa Khusro is 1780420059. It was assigned to this individual provider in the NPPES registry on July 5, 2024.

Where is Khansa Khusro located?

Khansa Khusro practices at 23130 Lyons Ave, Newhall, CA 91321. The listed phone number is (661) 219-0001.

What is Khansa Khusro's specialty?

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

Is Khansa Khusro enrolled in Medicare?

Yes. Khansa Khusro is registered in the Medicare PECOS enrollment system.

What insurance does Khansa Khusro accept?

Health plans from BEST Life, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 9 other insurers list Khansa Khusro 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 Khansa Khusro was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.