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HAMID COHEN KHERADYAR, DDS, INC.
NPI 1891993036
Clinic/Center - Dental in San Pedro, CA

Active since July 10, 2007
138 S GAFFEY ST, SAN PEDRO, CA 90731(310) 514-9100(310) 514-9119 Get Directions Write a Review

NPPES record last updated: July 10, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Hamid Cohen Kheradyar, Dds, Inc. NPPES

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

HAMID COHEN KHERADYAR, DDS, INC. (NPI 1891993036) is a healthcare organization registered as a dental in San Pedro, California and active in the NPI registry since July 2007. The organization lists Hamid Cohen Kheradyar, Owner, as its authorized official.

NPPES Registry Identity

NPI1891993036
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameHAMID COHEN KHERADYAR, DDS, INC.
Location Address138 S GAFFEY STSan Pedro, CA 90731-2430
Mailing Address138 S Gaffey StSan Pedro, CA 90731-2430 · (310) 514-9100 · Fax (310) 514-9119
Phone(310) 514-9100
Fax(310) 514-9119
Organization SubpartNo
Authorized OfficialHamid Cohen KheradyarOwner · (310) 514-9100
Enumeration DateJuly 10, 2007
✔ NPI 1891993036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
138 S GAFFEY ST, San Pedro, CA 90731
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Other Identifiers 3

OtherG89860CA · Denti-cal
Other39023CA · Dentist
Other444495CA · Periodontist

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hamid Cohen Kheradyar, Dds, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Hamid Cohen Kheradyar, DDS, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Hamid Kheradyar, DDS
Oral Surgery
NPI 1851469985
138 S GAFFEY ST
San Pedro, CA 90731
(310) 514-9100
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Hamid Cohen Kheradyar, Dds, Inc.'s NPI number?

The NPI number for Hamid Cohen Kheradyar, Dds, Inc. is 1891993036. It was assigned to this organization in the NPPES registry on July 10, 2007.

Where is Hamid Cohen Kheradyar, Dds, Inc. located?

Hamid Cohen Kheradyar, Dds, Inc. is located at 138 S Gaffey St, San Pedro, CA 90731. The listed phone number is (310) 514-9100.

What is Hamid Cohen Kheradyar, Dds, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Is Hamid Cohen Kheradyar, Dds, Inc. enrolled in Medicare?

Yes. Hamid Cohen Kheradyar, Dds, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Hamid Cohen Kheradyar, Dds, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to Hamid Cohen Kheradyar, Dds, Inc.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Hamid Cohen Kheradyar, Dds, Inc. accept?

Health plans from UnitedHealthcare list Hamid Cohen Kheradyar, Dds, Inc. 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 Hamid Cohen Kheradyar, Dds, Inc. was last updated on July 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.