1. Home
  2. Directory
  3. California
  4. Encino
  5. Dentist
  6. NPI Profile

MICHAEL PEDRAM DDS, MD
NPI 1891345112
Dentist - Oral and Maxillofacial Surgery in Encino, CA

Active since September 18, 2019PECOS Enrolled
5363 BALBOA BLVD STE 233, ENCINO, CA 91316(818) 788-4424 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 11, 2025, Apr 9, 2023, Nov 17, 2020 and 1 more (4 updates tracked since 2019).

About Michael Pedram Dds, Md NPPES

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

MICHAEL PEDRAM DDS, MD (NPI 1891345112) is an individual oral and maxillofacial surgery provider in Encino, California, licensed in California (104435) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891345112
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameMICHAEL PEDRAMCredential: DDS, MD
Location Address5363 BALBOA BLVD STE 233Encino, CA 91316-2824
Mailing Address1560 Loma Vista DrBeverly Hills, CA 90210-1939 · (310) 612-4365
Phone(818) 788-4424
Sole ProprietorYes
Enumeration DateSeptember 18, 2019
Last NPPES UpdateJuly 28, 20254 updates tracked since enumeration
NPPES CertifiedJuly 28, 2025
✔ NPI 1891345112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in CA · 104435
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
5363 BALBOA BLVD STE 233, Encino, CA 91316
Open in Google Maps ↗

Other Names 1

Other Name (5)Michael Pedram Dds, Md

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Pedram Dds, Md 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 91316 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.

SERGEY LOKOT DENTAL CORPORATION
Dentist (Oral and Maxillofacial Surgery)
5363 BALBOA BLVD STE 233
ENCINO, CA 91316
Los Angeles County (818) 788-4424

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 Michael Pedram's NPI number?

The NPI number for Michael Pedram is 1891345112. It was assigned to this individual provider in the NPPES registry on September 18, 2019. The provider is also known as Michael Pedram Dds, MD.

Where is Michael Pedram located?

Michael Pedram practices at 5363 Balboa Blvd Ste 233, Encino, CA 91316. The listed phone number is (818) 788-4424.

What is Michael Pedram's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Michael Pedram enrolled in Medicare?

Yes. Michael Pedram is registered in the Medicare PECOS enrollment system.

What insurance does Michael Pedram 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 Florida Combined Life and 2 other insurers list Michael Pedram 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 Michael Pedram was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.