Sahar Khooshab, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

40805 Issued in TX

Practice address

815 College Blvd Ste 106
Oceanside, CA 92057-6261

Phone

(760) 306-4466

NPI assigned

Jul 31, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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 and National Provider Directory roles.

• Rogers and Reagan Dental Corporation

  • General Practice Dentistry
  • Oceanside, CA
  • NPI 1275627051
  NPD (past)

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

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748649600000",
    "number": "1659895753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 COLLEGE BLVD STE 106",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920576261",
            "telephone_number": "760-306-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 COLLEGE BLVD STE 106",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920576261",
            "telephone_number": "760-306-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOOSHAB",
        "first_name": "SAHAR",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-31",
        "last_updated": "2025-05-31",
        "certification_date": "2025-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "101544",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "40805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Talar Kharadjian, MD
• Ammar Khashan, PA-C
• Yakov Khasidov, RPH
• Mehran Khazian, DDS
• Khooshab Patish-Preobrazhenskaya Dental Corporation
• Katherine Kidde
• Susan Denise Kidman, LVN
• Kids Smile Pediatric Dentistry
• Heather R Kiffe, LCSW
• Lauren Kikumoto, OTR/L

• General Practice Dentistry in Oceanside, CA
• Providers in Oceanside, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2025; 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.