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

Dr. Niloofar Khosravian

Individual provider Dentist · NPI 1790126779

Dr. Niloofar Khosravian is a Dentist in San Marcos, Texas. Practices as a sole proprietor. Licensed in California, Massachusetts, New York and Pennsylvania and 1 more.

Licensed in
CA, MA, NY, PA, TX
In the registry since
2013
Specialties on file
6

Practice location Address checks out

1920 Corporate Dr #107 A
San Marcos, TX 78666-6283
Phone: (818) 922-5752
Show map & directions

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

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence DDS102381 (CA)
Dentist Taxonomy 122300000X · Licence DS040753 (PA)
Dentist Taxonomy 122300000X · Licence 31791 (TX)
Dentist Taxonomy 122300000X · Licence DL11947 (MA)
Dentist Taxonomy 122300000X · Licence 057614 (NY)
Endodontics Taxonomy 1223E0200X · Licence 31791 (TX)

Record details

NPI number1790126779
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 8, 2013
Last updated in NPPESMay 5, 2026
Certification dateMay 5, 2026
Mailing address410 W Colorado St, Glendale, CA 91204-1504

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