MEDICARE: DR. PASHA MEHRAZAR DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	109139	CA
2	122300000X	Dentist	109139	CA

General Provider Information

NPI Number	:	1871377986
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PASHA MEHRAZAR DDS

Provider Business Mailing Address
First Line	:	17020 BURBANK BLVD APT 205
Second Line	:
City	:	ENCINO
State	:	CA
Zip	:	91316-1802
Country	:	US
Telephone Number	:	818-699-4567
Fax Number	:

Provider Business Practice Location Address
First Line	:	813 FAIR OAKS AVE
Second Line	:
City	:	S PASADENA
State	:	CA
Zip	:	91030-2605
Country	:	US
Telephone Number	:	626-593-0053
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/21/2023
Last Update Date	:	11/28/2023

Similar Medicare Providers

1518959295 — DR. BONNIE JEAN LEES MD
Practice Location Address:

8200 DODGE STREET , CHILDREN'S HOSPITAL & MEDICARE CENTER
OMAHA, NE
68114-4113

Practice Phone: 402-955-6140
Practice Fax: 402-955-3398

1518319334 — MARTIN GALSTUAN DENTAL CORPORATION
Practice Location Address:

813 FAIR OAKS AVE
SOUTH PASADENA, CA
91030-2605

Practice Phone: 626-593-0053
Practice Fax: 626-486-9959

1396231759 — DR. FATIMA SHAFI
Practice Location Address:

813 FAIR OAKS AVE
SOUTH PASADENA, CA
91030-2605

Practice Phone: 626-593-0053
Practice Fax:

1467093419 — DR. TIMOTHY KOOK DDS
Practice Location Address:

813 FAIR OAKS AVE
SOUTH PASADENA, CA
91030-2605

Practice Phone: 925-451-5649
Practice Fax:

1619644804 — DR. ARDALAN ESAKHARIAN DMD
Practice Location Address:

813 FAIR OAKS AVE
S PASADENA, CA
91030-2605

Practice Phone: 626-593-0053
Practice Fax:

1962397661 — DR. NAYOMI EKANAYAKE DDS
Practice Location Address:

813 FAIR OAKS AVE
SOUTH PASADENA, CA
91030-2605

Practice Phone: 626-593-0053
Practice Fax:

Directions to “ DR. PASHA MEHRAZAR DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.