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DEEPTHI DEVIREDDY DDS
NPI 1033966494
Dentist in Los Angeles, CA

Active since May 03, 2024PECOS Enrolled
8405 BEVERLY BLVD, LOS ANGELES, CA 90048(323) 653-1990 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 17, 2025, May 3, 2024 (2 updates tracked since 2024).

About Deepthi Devireddy Dds NPPES

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

DEEPTHI DEVIREDDY DDS (NPI 1033966494) is an individual dentist in Los Angeles, California, licensed in California (DDS111310) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1033966494
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDEEPTHI DEVIREDDYCredential: DDS
Location Address8405 BEVERLY BLVDLos Angeles, CA 90048-3401
Mailing Address1837 Santa Ynez StLos Angeles, CA 90026-4111 · (469) 401-9986
Phone(323) 653-1990
Sole ProprietorYes
Enumeration DateMay 3, 2024
Last NPPES UpdateJuly 29, 20252 updates tracked since enumeration
NPPES CertifiedJuly 29, 2025
✔ NPI 1033966494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · DDS111310
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
8405 BEVERLY BLVD, Los Angeles, CA 90048
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Secondary Practice Location 1

Location 15205 Melrose AveLos Angeles, CA 90038-3144 · Phone (323) 653-1990

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Deepthi Devireddy 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 Deepthi Devireddy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Los Angeles Free Clinic
Same address
Federally Qualified Health Center (FQHC)
8405 BEVERLY BLVD
Los Angeles, CA 90048
  • Reassigned Medicare billing, California enrollment
  • 57 clinicians in this Medicare group
NPI 1194893248 (323) 653-8622

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 90048 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.

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.

NATALIE ABELLANOSA RN
Registered Nurse
8405 BEVERLY BLVD
LOS ANGELES, CA 90048
Los Angeles County (323) 653-1990
JUSTO SAUL GALICIA RN
Registered Nurse (Community Health)
8405 BEVERLY BLVD
LOS ANGELES, CA 90048
Los Angeles County (323) 653-1990
QUINN VI TANG P.A., L.AC., DACM
Physician Assistant
8405 BEVERLY BLVD
LOS ANGELES, CA 90048
Los Angeles County (323) 653-1990
JANKI THAKORBHAI PATEL
Pharmacist
8405 BEVERLY BLVD
LOS ANGELES, CA 90048
Los Angeles County (323) 653-1990
TARA ABRAMS NP
Nurse Practitioner (Acute Care)
8405 BEVERLY BLVD
LOS ANGELES, CA 90048
Los Angeles County (562) 335-7332
JOCELYNN MARIE ORTEGA-GONZALEZ D.M.D
Dentist
8405 BEVERLY BLVD
LOS ANGELES, CA 90048
Los Angeles County (323) 653-8622
DR. VALERIE S THADHANI MD
Internal Medicine
8405 BEVERLY BLVD
LOS ANGELES, CA 90048
Los Angeles County (323) 653-1990
MRS. TAWANNA DESHAY ERICKSEN RN
Registered Nurse
8405 BEVERLY BLVD
LOS ANGELES, CA 90048
Los Angeles County (323) 653-1990

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 Deepthi Devireddy's NPI number?

The NPI number for Deepthi Devireddy is 1033966494. It was assigned to this individual provider in the NPPES registry on May 3, 2024.

Where is Deepthi Devireddy located?

Deepthi Devireddy practices at 8405 Beverly Blvd, Los Angeles, CA 90048. The listed phone number is (323) 653-1990.

What is Deepthi Devireddy's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Deepthi Devireddy enrolled in Medicare?

Yes. Deepthi Devireddy is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Deepthi Devireddy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Deepthi Devireddy reassigns Medicare benefits to The Los Angeles Free Clinic (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 Deepthi Devireddy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Deepthi Devireddy was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.