Sareh Khosravi, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DDS113078 Issued in CA

Practice address

108 Whispering Pines Dr Ste 225
Scotts Valley, CA 95066-4793

Phone

(831) 438-1861

NPI assigned

Jun 26, 2026

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1782432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1386560969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 WHISPERING PINES DR STE 225",
            "city": "SCOTTS VALLEY",
            "state": "CA",
            "postal_code": "950664793",
            "telephone_number": "831-438-1861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 WHISPERING PINES DR STE 225",
            "city": "SCOTTS VALLEY",
            "state": "CA",
            "postal_code": "950664793",
            "telephone_number": "831-438-1861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOSRAVI",
        "first_name": "SAREH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-26",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS113078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naomi Kawabata, RN
• Mackenzie Keller, MA, PPSC
• Chelsea Kellogg, CADC II
• Heather Lake Kelly, PSYD
• Linda Marie Kerr, RN
• Dana Kihoi, IBCLC
• Shondraya Kimble
• Rosa Kitchen, MFT
• Joseph Russell Kliegel
• Inga Helen Knudson, LMFT

• Dentist in Scotts Valley, CA
• Providers in Scotts Valley, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.