Active NPI
Pegah Daneshrad, M.D.
- Pediatrics Physician
- Van Nuys, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A068411
- Practice address
- 7138 Van Nuys Blvd
Van Nuys, CA 91405-3005 - Phone
- (818) 778-6240
- Fax
- (818) 994-8005
- NPI assigned
- Aug 2, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A068411 | CA | Primary |
Addresses
Primary practice location
7138 Van Nuys Blvd
Van Nuys, CA 91405-3005
Mailing address
1172 N Maclay Ave
San Fernando, CA 91340-1328
Phone (818) 898-1388
Other names 1
- Pegah Khandabi
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: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68411 | CA | MD | Pharmacist |
| A068411 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Valley Health Corporation | Current | Accepting new patients | |
| Northeast Valley Health Corporation | Current | Accepting new patients | |
| Northeast Valley Health Corporation | Current | Accepting new patients |
Locations
7843 Lankershim Blvd
North Hollywood, CA 91605
Phone (818) 765-8656
12756 Van Nuys Blvd
Pacoima, CA 91331
Phone (818) 896-0531
1172 N Maclay Ave
San Fernando, CA 91340
Phone (818) 898-1388
1600 San Fernando Rd
San Fernando, CA 91340
Phone (818) 365-8086
7223 Fair Ave
Sun Valley, CA 91352
Phone (818) 432-4400
23763 Valencia Blvd
Valencia, CA 91355
Phone (661) 287-1551
6551 Van Nuys Blvd
Ste 201
Van Nuys, CA 91401
Phone (818) 765-8656
7138 Van Nuys Blvd
Van Nuys, CA 91405
Phone (818) 778-6240
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- pegah.daneshrad.p1@direct.nevhc.nextgenshare.com
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Van Nuys, CA
- NPI 1629079009
-
- Federally Qualified Health Center (FQHC)
- Santa Clarita, CA
- NPI 1548960834
-
- Federally Qualified Health Center (FQHC)
- Canoga Park, CA
- NPI 1740281120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1467453282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1172 N MACLAY AVE",
"city": "SAN FERNANDO",
"state": "CA",
"postal_code": "913401328",
"telephone_number": "818-898-1388",
"fax_number": "818-365-4031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7138 VAN NUYS BLVD",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914053005",
"telephone_number": "818-778-6240",
"fax_number": "818-994-8005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANESHRAD",
"first_name": "PEGAH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-02",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A068411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PEGAH",
"last_name": "KHANDABI",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.