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DR. GABRIELLA M TEHRANY MD, DDS
NPI 1013148246
Dentist - Oral and Maxillofacial Surgery in Los Angeles, CA

Active since August 05, 2009PECOS Enrolled
1645 VINE ST, #906, LOS ANGELES, CA 90028(310) 617-6462(866) 340-8911 Get Directions Write a Review

NPPES record last updated: December 13, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Gabriella M Tehrany Md, Dds NPPES

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

DR. GABRIELLA M TEHRANY MD, DDS (NPI 1013148246) is an individual oral and maxillofacial surgery provider in Los Angeles, California, licensed in California (53060) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013148246
Entity TypeIndividualFemale
Primary Taxonomy1223S0112X
Provider Legal NameDR. GABRIELLA M TEHRANYCredential: MD, DDS
Location Address1645 VINE ST, #906Los Angeles, CA 90028-8839
Mailing Address1645 Vine St, #906Los Angeles, CA 90028-8839 · (310) 617-6462 · Fax (866) 340-8911
Phone(310) 617-6462
Fax(866) 340-8911
Sole ProprietorNo
Enumeration DateAugust 5, 2009
Last NPPES UpdateDecember 13, 2021
✔ NPI 1013148246 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 · 53060
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.
1645 VINE ST, Los Angeles, CA 90028
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gabriella M Tehrany Md, 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.

Medicare Billing Reassignment

Medicare enrollment records show Gabriella Tehrany reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
2.0 mi
Health Maintenance Organization
4760 W SUNSET BLVD
Los Angeles, CA 90027
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1134151657 (323) 783-4011

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90028 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.

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 Gabriella Tehrany's NPI number?

The NPI number for Gabriella Tehrany is 1013148246. It was assigned to this individual provider in the NPPES registry on August 5, 2009.

Where is Gabriella Tehrany located?

Gabriella Tehrany practices at 1645 Vine St #906, Los Angeles, CA 90028. The listed phone number is (310) 617-6462.

What is Gabriella Tehrany's specialty?

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

Is Gabriella Tehrany enrolled in Medicare?

Yes. Gabriella Tehrany is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gabriella Tehrany's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gabriella Tehrany reassigns Medicare benefits to Southern California Permanente Medical Group (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gabriella Tehrany's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gabriella Tehrany accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Renaissance Dental list Gabriella Tehrany 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 Gabriella Tehrany was last updated on December 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.