Khashayar Khodadadi, DDS in Los Angeles, CA

Khashayar Khodadadi, DDS is a medicare enrolled "Dentist - General Practice" provider in Los Angeles, California. His current practice location is 11900 S. Avalon Blvd., Suite 101, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (323) 834-0100.

Khashayar Khodadadi is licensed to practice in California (license number 43026) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1083743926.

Contact Information

	Khashayar Khodadadi, DDS
	11900 S. Avalon Blvd., Suite 101, Los Angeles, CA 90061-2837
	(323) 834-0100
	(323) 834-0101

Map and Direction

Healthcare Provider's Profile

Full Name	Khashayar Khodadadi
Gender	Male
Speciality	Dentist - General Practice
Location	11900 S. Avalon Blvd., Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083743926
Provider Enumeration Date: 03/05/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6507180759
Enrollment ID: I20150617002165

Medical Identifiers

Medical identifiers for Khashayar Khodadadi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083743926	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	43026 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Khashayar Khodadadi allows following entities to bill medicare on his behalf.

Entity Name	Khashayar Khodadadi Dds Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003033556 PECOS PAC ID: 2668785346 Enrollment ID: O20150723009523

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Khashayar Khodadadi is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Khashayar Khodadadi, DDS 11900 S. Avalon Blvd., Suite 101, Los Angeles, CA 90061-2837 Ph: (323) 834-0100	Khashayar Khodadadi, DDS 11900 S. Avalon Blvd., Suite 101, Los Angeles, CA 90061-2837 Ph: (323) 834-0100

Reviews and Comments

Dentist in Los Angeles, CA

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Dr. Adrian Sanchez, Dentist Medicare: Not Enrolled in Medicare Practice Location: 6114 York Blvd, Suite C, Los Angeles, CA 90042 Phone: 323-255-6698
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Khashayar Khodadadi, DDS - Medicare Dentist in Los Angeles, CA