1. Home
  2. Directory
  3. California
  4. Los Angeles
  5. Dentist
  6. NPI Profile

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

Active since August 10, 2006PECOS Enrolled
11980 SAN VICENTE BLVD, SUITE 505, LOS ANGELES, CA 90049(310) 820-6691(310) 820-6041 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Diana Marcela Medina Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DIANA MARCELA MEDINA DDS (NPI 1003827551) is an individual oral and maxillofacial surgery provider in Los Angeles, California, licensed in California (50643) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003827551
Entity TypeIndividualFemale
Primary Taxonomy1223S0112X
Provider Legal NameDR. DIANA MARCELA MEDINACredential: DDS
Location Address11980 SAN VICENTE BLVD, SUITE 505Los Angeles, CA 90049-5012
Mailing Address10620 Eastborne Ave, Apt # 302Los Angeles, CA 90024-5985 · (310) 490-6674
Phone(310) 820-6691
Fax(310) 820-6041
Sole ProprietorYes
Enumeration DateAugust 10, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1003827551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in CA · 50643
Definition
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.
11980 SAN VICENTE BLVD, Los Angeles, CA 90049
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Diana Marcela Medina Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90049 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Patient Reviews User submitted

Reviews are submitted by site visitors and approved by a human moderator before publication.

Review by Thomas ***** April 12, 2024

5/5
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
Provider 5/5 Office Staff 5/5
Visited this provider? Share your experience.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA SANCHEZ MFT
Marriage & Family Therapist
11980 SAN VICENTE BLVD, SUITE 909
LOS ANGELES, CA 90049
Los Angeles County (424) 293-6679
DR. HOPE W LEVIN MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
11980 SAN VICENTE BLVD, SUITE 809
LOS ANGELES, CA 90049
Los Angeles County (310) 494-0108
DR. CAROL ANN MAYHEW PH.D.
Psychologist (Clinical)
11980 SAN VICENTE BLVD, SUITE 709
LOS ANGELES, CA 90049
Los Angeles County (310) 207-9902
DR. ANURADHA GOMATHY SESHADRI M.D.
Internal Medicine
11980 SAN VICENTE BLVD, STE 102
LOS ANGELES, CA 90049
Los Angeles County (310) 208-7777
REGINA PALLY M.D.
Psychologist (Prescribing (Medical))
11980 SAN VICENTE BLVD, SUITE 810
LOS ANGELES, CA 90049
Los Angeles County (310) 820-2700
ARCHANA M REDDY MD
Family Medicine
11980 SAN VICENTE BLVD, SUITE 102
LOS ANGELES, CA 90049
Los Angeles County (310) 208-7777
ALAN SPIVAK
Psychologist (Clinical)
11980 SAN VICENTE BLVD, STE 712
LOS ANGELES, CA 90049
Los Angeles County (310) 826-1494
DR. VICTOR PINESCHI DDS, MS,APC
Dentist (Periodontics)
11980 SAN VICENTE BLVD, #811
LOS ANGELES, CA 90049
Los Angeles County (310) 826-8911

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diana Medina's NPI number?

The NPI number for Diana Medina is 1003827551. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Where is Diana Medina located?

Diana Medina practices at 11980 San Vicente Blvd Suite 505, Los Angeles, CA 90049. The listed phone number is (310) 820-6691.

What is Diana Medina's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Diana Medina enrolled in Medicare?

Yes. Diana Medina is registered in the Medicare PECOS enrollment system.

What insurance does Diana Medina accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 2 other insurers list Diana Medina as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Diana Medina was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.