DR. SUZAN KHAJAVI DDS
NPI 1891048500
Dentist - General Practice in Los Angeles, CA

Q: What is Suzan Khajavi's NPI number?

The NPI number for Suzan Khajavi is 1891048500. It was assigned to this individual provider in the NPPES registry on October 18, 2012.

Q: What is Suzan Khajavi's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Suzan Khajavi was last updated on February 11, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 18, 2012PECOS Enrolled

4425 S CENTRAL AVE, LOS ANGELES, CA 90011(323) 908-4200 Get Directions Write a Review

NPPES record last updated: February 11, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Suzan Khajavi Dds NPPES

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

DR. SUZAN KHAJAVI DDS (NPI 1891048500) is an individual general practice provider in Los Angeles, California, licensed in California (61587) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891048500

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. SUZAN KHAJAVICredential: DDS

Location Address4425 S CENTRAL AVELos Angeles, CA 90011-3629

Mailing Address30909 Rue ValoisRancho Palos Verdes, CA 90275-5338 · (310) 293-8304

Phone(323) 908-4200

Sole ProprietorYes

Enumeration DateOctober 18, 2012

Last NPPES UpdateFebruary 11, 2019

✔ NPI 1891048500 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 · 61587

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.

4425 S CENTRAL AVE, Los Angeles, CA 90011

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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. Suzan Khajavi 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 90011 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.