Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dezire Khosravi

Individual provider Family Nurse Practitioner · NPI 1235096629

Dezire Khosravi is a Nurse Practitioner in Downey, California. Accepts Medicare assignment. Licensed in California.

Licensed in
CA
In the registry since
2026
Specialties on file
2

Practice location Address checks out

8357 Florence Ave
Downey, CA 90240-3928
Phone: (661) 998-6728
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence NP95039556 (CA)
Registered Nurse Taxonomy 163W00000X · Licence RN95376376 (CA)

Record details

NPI number1235096629
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 7, 2026
Last updated in NPPESJune 2, 2026
Certification dateJune 2, 2026
Mailing address6720 Valley Circle Blvd, West Hills, CA 91307-2809

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2026 (0 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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