Active NPI
Kourosh Keihani, D.D.S
- Dentist
- Los Angeles, CA
National Provider Identifier
1285043893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 63776
- Practice address
- 2205 S Bentley Ave Apt 202
Los Angeles, CA 90064-1979 - Phone
- (310) 562-2046
- NPI assigned
- Aug 7, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 63776 | CA | Primary |
Addresses
Primary practice location
2205 S Bentley Ave Apt 202
Los Angeles, CA 90064-1979
Mailing address
2205 S Bentley Ave Apt 202
Los Angeles, CA 90064-1979
Phone (310) 562-2046
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63776 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alirezaei Dental Corporation | Current | Accepting new patients | |
| Cohen & Keihani & Jabaiti Dental Corp | Past | Accepting new patients | |
| Keihani Dental Corporation | Past | Accepting new patients | |
| Khodadadi, Alirezaei and Keihani Dental Corp | Past | Accepting new patients |
Locations
1690 E Gonzales Rd
Oxnard, CA 93036
Phone (805) 552-5056
Organizations & group practices 4
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.
-
- Dental Clinic/Center
- Oxnard, CA
- NPI 1144872748
-
- Dental Clinic/Center
- South Gate, CA
- NPI 1013801398
-
- Dental Clinic/Center
- Beverly Hills, CA
- NPI 1104597038
-
- Dental Clinic/Center
- Oxnard, CA
- NPI 1811359615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756166400000",
"number": "1285043893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2205 S BENTLEY AVE APT 202",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900641979",
"telephone_number": "310-562-2046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2205 S BENTLEY AVE APT 202",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900641979",
"telephone_number": "310-562-2046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEIHANI",
"first_name": "KOUROSH",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-08-07",
"last_updated": "2025-08-26",
"certification_date": "2025-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "63776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.