Mahvish Fatima Khan, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

113695 Issued in CA

Practice address

415 N Pacific Coast Hwy # 100a
Redondo Beach, CA 90277-2840

Phone

(310) 469-9353

NPI assigned

Jun 2, 2023

Last updated

Sep 18, 2026By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1730873860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10181 ABLE ST NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554342677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N PACIFIC COAST HWY # 100A",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902772840",
            "telephone_number": "310-469-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MAHVISH",
        "middle_name": "FATIMA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-02",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "113695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Key, M.D.
• Sharagim Khaghani
• Bahareh Khakinejad
• Sameh Khalil, RPH
• Dua Khan
• Samina Khani, MD
• Khoi Nguyen Professional Dental Corporation
• Kids Unfiltered Child and Family Counseling
• Kids Unfiltered, Inc.
• Kiley Chiropractic

• General Practice Dentistry in Redondo Beach, CA
• Providers in Redondo Beach, 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 Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.