Oliver Khorsandi, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DDS109766 Issued in CA

Practice address

755 W Rancho Vista Blvd
Palmdale, CA 93551-3735

Phone

(661) 265-7800

NPI assigned

Mar 6, 2024

Last updated

Aug 25, 2026By the provider in NPPES

Sex

Male

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Easley Dental Corporation

  dba Sierra Commons Dental Group

  • General Practice Dentistry
  • Palmdale, CA
  • NPI 1669536678
  NPD (past)

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

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1578321469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 N HILLCREST RD",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902103514",
            "telephone_number": "310-601-6898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 W RANCHO VISTA BLVD",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513735",
            "telephone_number": "661-265-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHORSANDI",
        "first_name": "OLIVER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-06",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "DDS109766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chris Khatchaturian
• Victor Khatchaturian, D.D.S
• Ahsun Sunny Khawaja, MD
• Annie Khommarath
• Daniel Khoramian, DDS
• Daniel Khorshad
• Alice Kim, O.D.
• Angelo Kim, M.D.
• Charles D Kim, O.D.
• Christine Young Kim, PHARM D

• Pediatric Dentistry in Palmdale, CA
• Providers in Palmdale, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.

Verify at the official NPI Registry.