CECILIA R MITCHELL DDS
NPI 1053483339
Dentist - General Practice in Los Angeles, CA
About Cecilia R Mitchell Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CECILIA R MITCHELL DDS (NPI 1053483339) is an individual general practice provider in Los Angeles, California, licensed in California (29950) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Cecilia R Mitchell Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Cecilia Mitchell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90022
- Reassigned Medicare billing, California enrollment
- 75 clinicians in this Medicare group
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 90022 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LOS ANGELES, CA 90022
LOS ANGELES, CA 90022
EAST LOS ANGELES, CA 90022
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 Cecilia Mitchell's NPI number?
The NPI number for Cecilia Mitchell is 1053483339. It was assigned to this individual provider in the NPPES registry on November 14, 2006.
Where is Cecilia Mitchell located?
Cecilia Mitchell practices at 4816 E 3rd St, Los Angeles, CA 90022. The listed phone number is (323) 780-4510.
What is Cecilia Mitchell's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Cecilia Mitchell enrolled in Medicare?
Yes. Cecilia Mitchell is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Cecilia Mitchell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Cecilia Mitchell reassigns Medicare benefits to Gracelight Community Health (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 Cecilia Mitchell'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 Cecilia Mitchell was last updated on February 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Cecilia R Mitchell, DDS · NPI 1053483339
General Practice provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since November 14, 2006.
## Identity
- **NPI:** 1053483339 (Entity type: Individual)
- **Enumerated:** November 14, 2006
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 29950 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4816 E 3RD ST, Los Angeles, CA 90022-1602
- **Phone:** (323) 780-4510
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Gracelight Community Health (NPI 1104075282, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 25, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1053483339) · Data from the CMS NPPES public registry.