DR. DIANA MARCELA MEDINA DDS
NPI 1003827551
Dentist - Oral and Maxillofacial Surgery in Los Angeles, CA

NPI Status: Active since August 10, 2006

Contact Information

11980 SAN VICENTE BLVD
SUITE 505
LOS ANGELES, CA
ZIP 90049
Phone: (310) 820-6691
Fax: (310) 820-6041

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  • Individual
  • Female
  • Dentist
  • Oral and Maxillofacial Surgery
  • Accepts Insurance
  • PECOS Enrolled

About DIANA MEDINA

This page provides the complete NPI Profile along with additional information for Diana Medina, a provider established in Los Angeles, California with a medical specialization in Dentist, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1003827551 assigned on August 2006. The practitioner's primary taxonomy code is 1223S0112X with license number 50643 (CA). The provider is registered as an individual and her NPI record was last updated 19 years ago.

NPI
1003827551
Provider Name
DR. DIANA MARCELA MEDINA DDS
Gender
Female
Entity Type
Individual
Location Address
11980 SAN VICENTE BLVD SUITE 505 LOS ANGELES, CA 90049
Location Phone
(310) 820-6691
Location Fax
(310) 820-6041
Mailing Address
10620 EASTBORNE AVE APT # 302 LOS ANGELES, CA 90024
Mailing Phone
(310) 490-6674
Is Sole Proprietor?
Yes
Enumeration Date
08-10-2006
Last Update Date
07-08-2007
Code Navigator

A dentist like Diana Medina is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Oral and Maxillofacial Surgery

Taxonomy Code
1223S0112X
Type
Dental Providers
License No.
50643
License State
CA
Taxonomy Description
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Essential 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Essential 10150 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Essential 6500 HSA (+ Incentives) - HMO
  • Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Pathway 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Bronze Pathway 10600 ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Bronze Pathway 10600 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • BlueCare Dental 4 Kids? 1A - PPO
  • BlueCare Dental 4 Kids? 1B - PPO
  • BlueCare Dental? 1A - PPO
  • BlueCare Dental? 1B - PPO
  • BlueCare Dental? 1C - PPO
  • BlueCare Dental? 1D - PPO
  • BlueCare Dental 4 Kids? 1A - PPO
  • BlueCare Dental 4 Kids? 1B - PPO
  • BlueCare Dental? 1A - PPO
  • BlueCare Dental? 1B - PPO
  • BlueCare Dental? 1C - PPO
  • BlueCare Dental? 1D - PPO
  • BlueCare Dental 1D - PPO
  • BlueCare Dental 4 Kids? 1A - PPO
  • BlueCare Dental 4 Kids? 1B - PPO
  • BlueCare Dental? 1A - PPO
  • BlueCare Dental? 1B - PPO
  • BlueCare Dental? 1C - PPO
  • BlueDental Copayment Q - PPO
  • BlueDental Copayment QF - PPO
  • Humana Dental Smart Choice - PPO
  • Humana Dental Smart Choice - Basic - PPO
  • Humana Dental Smart Choice - High - PPO
  • Humana Dental Smart Choice - Lite - PPO
  • Humana Dental Smart Choice - Low - PPO
  • Lone Star - Smile Now - PPO
  • Smile Now Arizona - No Waiting Period PPO - PPO
  • Smile Now Michigan - No Waiting Period PPO - PPO
  • Smile Now Ohio - No Waiting Period PPO - PPO
  • Smile Now Texas- No Waiting Period Plan - PPO
  • Smile Now Utah - No Waiting Period PPO - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Diana Medina is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 90049 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $96.36
  • Minimum New Patient Price $62.96
  • Maximum New Patient Price $187.6
  • Average New Patient Copayment $24.09
  • Minimum New Patient Copayment $15.74
  • Maximum New Patient Copayment $46.9

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $77.96
  • Minimum Established Patient Price $20.84
  • Maximum Established Patient Price $153.61
  • Average Established Patient Copayment $19.49
  • Minimum Established Patient Copayment $5.21
  • Maximum Established Patient Copayment $38.4

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for DR. DIANA MARCELA MEDINA DDS

  • 5 out of 5 stars - Review by Thomas ***** on April 12, 2024

    Dr. Medina is a gifted oral surgeon. She projects a confident and thorough knowledge of her practice, that is well communicated. Her surgical skills support and validate her confidence. In addition to possessing a kind and caring bedside manner, her post procedure follow up was nothing short of astounding. On the same afternoon as my appointment, she phoned me personally to check on condition. O

  • NPI NPI Number Validation

    How NPI Validation Works

    The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

    To verify the NPI 1003827551, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).

    Digit-by-digit view

    Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

    Pos 1
    1
    Doubled → 2
    Pos 2
    0
    Unchanged
    Pos 3
    0
    Doubled → 0
    Pos 4
    3
    Unchanged
    Pos 5
    8
    Doubled → 16 → 1 + 6
    Pos 6
    2
    Unchanged
    Pos 7
    7
    Doubled → 14 → 1 + 4
    Pos 8
    5
    Unchanged
    Pos 9
    5
    Doubled → 10 → 1 + 0
    Check
    1
    Target digit
    Regular digit Doubled digit Check digit

    Step 1: Double every other digit from the right

    Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

    1 → 2 0 → 0 8 → 16 → 7 7 → 14 → 5 5 → 10 → 1

    Step 2: Add all digits plus the NPI constant

    Add the transformed values, the unchanged digits, and the constant 24.

    2 + 0 + 0 + 3 + 1 + 6 + 2 + 1 + 4 + 5 + 1 + 0 + 24 = 49

    Step 3: Find the amount needed to reach the next multiple of 10

    The next multiple of ten after 49 is 50. The difference is the calculated check digit.

    50 - 49 = 1
    This NPI is valid
    The calculated check digit is 1, which matches the last digit of 1003827551.

    Other Providers at the Same Location


    The following 20 providers are registered at the same or a nearby location.

    Psychiatry & Neurology (Psychiatry)
    11980 SAN VICENTE BLVD, SUITE 701
    LOS ANGELES, CA 90049
    Specialist
    11980 SAN VICENTE BLVD, SUITE 120
    LOS ANGELES, CA 90049
    Dentist
    11980 SAN VICENTE BLVD, #918
    LOS ANGELES, CA 90049
    Internal Medicine
    11980 SAN VICENTE BLVD, 102
    LOS ANGELES, CA 90049
    Dentist (Orthodontics and Dentofacial Orthopedics)
    11980 SAN VICENTE BLVD, SUITE 814
    LOS ANGELES, CA 90049
    Dentist (Prosthodontics)
    11980 SAN VICENTE BLVD, SUITE 906
    LOS ANGELES, CA 90049
    Psychologist
    11980 SAN VICENTE BLVD, SUITE 701
    LOS ANGELES, CA 90049
    Dentist (Periodontics)
    11980 SAN VICENTE BLVD, 503
    LOS ANGELES, CA 90049
    Psychiatry & Neurology (Psychiatry)
    11980 SAN VICENTE BLVD, SUITE 701
    LOS ANGELES, CA 90049
    Dentist
    11980 SAN VICENTE BLVD, SUITE 600
    LOS ANGELES, CA 90049
    Dentist (Periodontics)
    11980 SAN VICENTE BLVD, #811
    LOS ANGELES, CA 90049
    Dentist (General Practice)
    11980 SAN VICENTE BLVD, SUITE 802
    LOS ANGELES, CA 90049
    Dentist (Oral and Maxillofacial Surgery)
    11980 SAN VICENTE BLVD, SUITE 503 AND 505
    LOS ANGELES, CA 90049
    Psychiatry & Neurology (Child & Adolescent Psychiatry)
    11980 SAN VICENTE BLVD, SUITE 902
    LOS ANGELES, CA 90049
    Psychiatry & Neurology (Psychiatry)
    11980 SAN VICENTE BLVD, SUITE #910
    LOS ANGELES, CA 90049
    Otolaryngology (Facial Plastic Surgery)
    11980 SAN VICENTE BLVD, SUITE 715
    LOS ANGELES, CA 90049
    Psychologist (Clinical)
    11980 SAN VICENTE BLVD, SUITE 709
    LOS ANGELES, CA 90049
    Psychologist (Clinical)
    11980 SAN VICENTE BLVD, SUITE 904
    LOS ANGELES, CA 90049
    Psychiatry & Neurology (Psychosomatic Medicine)
    11980 SAN VICENTE BLVD, SUITE 620
    LOS ANGELES, CA 90049
    Dentist (Prosthodontics)
    11980 SAN VICENTE BLVD, SUITE 501
    LOS ANGELES, CA 90049

    Frequently Asked Questions

    The NPI number assigned to this healthcare provider is 1003827551, enumerated as an "individual" on August 10, 2006.

    The provider is located at 11980 SAN VICENTE BLVD SUITE 505 LOS ANGELES, CA 90049 and the phone number is (310) 820-6691.

    Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.

    The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Blue Cross and. Please consult your insurance carrier or call the provider to verify.