Kathy Keikhan Ebrahimi, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

45124 Issued in CA

Practice address

183 Blue Ravine Rd
Folsom, CA 95630-4704

Phone

(916) 983-8870

NPI assigned

May 26, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• County of Los Angeles

  • General Acute Care Hospital
  • Torrance, CA
  • NPI 1851363188
  Medicare reassignment NPD
• County of Los Angeles

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1295407401
  NPD
• County of Los Angeles

  • Clinic/Center
  • La Puente, CA
  • NPI 1982615274
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432684800000",
    "number": "1013396811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 BLUE RAVINE RD",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956304704",
            "telephone_number": "916-983-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 BLUE RAVINE RD",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956304704",
            "telephone_number": "916-983-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEIKHAN EBRAHIMI",
        "first_name": "KATHY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-26",
        "last_updated": "2015-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "45124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Kearney, RD
• Kyle James Kearney, LPCC
• Tess Keehn, L.M.F.T.
• Hailee Madison Keeler
• Keikhan and Ebrahimi Adc
• Robert Kelleher, DDS
• Tori Kelley
• Bernadette Ann Kelly, MD
• Catherine Jameson Lee Kelly
• Li Kelly

• Dentist in Folsom, CA
• Providers in Folsom, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.