MEHRAN FOTOVATJAH DDS NPI 1619094240

NPI Information

  • NPI: 1619094240
  • Provider Name: MEHRAN FOTOVATJAH, DDS
  • Classification: Dentist - 1223E0200X
  • Specialization: Endodontics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1805 EL CAMINO ROAD
    SUITE 201
    PALO ALTO, CA
    ZIP 94326
  • Phone: (650) 328-1860

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NPI Details

Mehran Fotovatjah, DDS is an endodontics dentist in Palo Alto, CA. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. Mehran Fotovatjah, DDS NPI is 1619094240. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1805 EL CAMINO ROAD
SUITE 201
PALO ALTO, CA
ZIP 94326
Phone: (650) 328-1860
Fax: (650) 329-7950

The NPI 1619094240 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 3/26/2007 and was last updated on 10/15/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223E0200XDentistEndodontics41173CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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