Active NPI
Deepali Mohindra Pednekar, D.D.S
- Dentist
- Agoura Hills, CA
National Provider Identifier
1790151892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 108733
- Practice address
- 30200 Agoura Rd Ste 270
Agoura Hills, CA 91301-5440 - Phone
- (818) 667-8435
- NPI assigned
- Aug 12, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019.030427 | IL | |
| Dentist | 122300000X | 108733 | CA | Primary |
Addresses
Primary practice location
30200 Agoura Rd Ste 270
Agoura Hills, CA 91301-5440
Mailing address
23304 Sandalwood St
West Hills, CA 91307-1423
Phone (818) 667-8435
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 |
|---|---|---|---|
| 108733 | CA | MD | Dentist |
| 019.030427 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768435200000",
"number": "1790151892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23304 SANDALWOOD ST",
"city": "WEST HILLS",
"state": "CA",
"postal_code": "913071423",
"telephone_number": "818-667-8435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30200 AGOURA RD STE 270",
"city": "AGOURA HILLS",
"state": "CA",
"postal_code": "913015440",
"telephone_number": "818-667-8435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEDNEKAR",
"first_name": "DEEPALI",
"middle_name": "MOHINDRA",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-12",
"last_updated": "2026-01-15",
"certification_date": "2026-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019.030427",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "108733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Agoura Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.