Active NPI
Pejman Mokhtar, DDS
- General Practice Dentistry
- Palmdale, CA
National Provider Identifier
1659549459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 52088
- Practice address
- 40008 10TH Street West.
Suite F
Palmdale, CA 93551 - Phone
- (661) 947-2727
- NPI assigned
- Feb 14, 2008
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 52088 | CA | Primary |
Addresses
Primary practice location
40008 10TH Street West.
Suite F
Palmdale, CA 93551
Mailing address
40008 10TH Street West.
Suite F
Palmdale, CA 93551
Phone (661) 947-2727
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 |
|---|---|---|---|
| 52088 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202947200000",
"number": "1659549459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40008 10TH STREET WEST.",
"address_2": "SUITE F",
"city": "PALMDALE",
"state": "CA",
"postal_code": "93551",
"telephone_number": "661-947-2727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40008 10TH STREET WEST.",
"address_2": "SUITE F",
"city": "PALMDALE",
"state": "CA",
"postal_code": "93551",
"telephone_number": "661-947-2727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOKHTAR",
"first_name": "PEJMAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-14",
"last_updated": "2008-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "52088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palmdale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.