Individual provider Active NPI

Katayoun Omrani, D.D.S

  • Orofacial Pain Dentistry
  • Los Angeles, CA
National Provider Identifier
1386967875
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orofacial Pain DentistryTaxonomy code 1223X2210X
License
45399 Issued in CA
Practice address
11600 Wilshire Blvd Ste 406
Los Angeles, CA 90025-1785
Phone
(310) 422-4246
NPI assigned
Mar 11, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 45399 CA
Orofacial Pain Dentistry 1223X2210X 45399 CA Primary

Addresses

Primary practice location

11600 Wilshire Blvd Ste 406
Los Angeles, CA 90025-1785

Mailing address

11600 Wilshire Blvd Ste 406
Los Angeles, CA 90025-1785
Phone (310) 422-4246

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110207000847 CA Practitioner - Oral Surgery 7416137526 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Univ of Calif, Los Angeles School of Dentistry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

11600 Wilshire Blvd
Suite 406
Los Angeles, CA 90025-1785
Phone (310) 422-4246

Hospital & facility affiliations

  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
45399CAMDOrofacial Pain Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Katayoun Omrani, DDS a Professional Dental Corporation Dentist CurrentSince Sep 22, 2014 Accepting new patients

Locations

444 S San Vicente Blvd
Ste 1101
Los Angeles, CA 90048
Phone (310) 423-9600

11600 Wilshire Blvd
Ste 406
Los Angeles, CA 90025
Phone (310) 422-4246

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1386967875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11600 WILSHIRE BLVD STE 406",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251785",
            "telephone_number": "310-422-4246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 WILSHIRE BLVD STE 406",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251785",
            "telephone_number": "310-422-4246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMRANI",
        "first_name": "KATAYOUN",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-11",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "45399",
            "primary": false
        },
        {
            "code": "1223X2210X",
            "taxonomy_group": "",
            "desc": "Dentist, Orofacial Pain",
            "state": "CA",
            "license": "45399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.