Organization Active NPI

Pejman Kharazi MD Prof LLC

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1205589470
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PEJMAN KHARAZI MD PROF LLC
Doing business as
Desert Inn Medical Clinic
Practice address
1900 E Desert Inn Rd
Las Vegas, NV 89169-3211
Phone
(702) 425-6125
Fax
(702) 208-2202
NPI assigned
Jan 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Dr. Pejman Kharazi, MDNPI 1669763488
Title
Manager
Phone
(310) 980-3074

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1900 E Desert Inn Rd
Las Vegas, NV 89169-3211

Mailing address

PO Box 370396
Las Vegas, NV 89137-0396
Phone (702) 425-6125

Other names 1

  • Desert Inn Medical Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230107000145 NV Part B Supplier - Clinic/Group Practice 6800266842 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1643328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1205589470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370396",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891370396",
            "telephone_number": "702-425-6125",
            "fax_number": "702-208-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 E DESERT INN RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891693211",
            "telephone_number": "702-425-6125",
            "fax_number": "702-208-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEJMAN KHARAZI MD PROF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-28",
        "last_updated": "2025-09-02",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "KHARAZI",
        "authorized_official_first_name": "PEJMAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "310-980-3074",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Inn Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.