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DR. NORBERTO BRAVO LUPISAN DDS
NPI 1053604637
Dentist in Los Angeles, CA

Active since May 16, 2011PECOS Enrolled
1131 N VERMONT AVE, STE. 103, LOS ANGELES, CA 90029(323) 913-1352 Get Directions Write a Review

NPPES record last updated: September 22, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Norberto Bravo Lupisan Dds NPPES

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

DR. NORBERTO BRAVO LUPISAN DDS (NPI 1053604637) is an individual dentist in Los Angeles, California, licensed in California (60135) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053604637
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. NORBERTO BRAVO LUPISANCredential: DDS
Location Address1131 N VERMONT AVE, STE. 103Los Angeles, CA 90029-1764
Mailing AddressPo Box 12113La Crescenta, CA 91224-0813 · (818) 248-7126
Phone(323) 913-1352
Sole ProprietorNo
Enumeration DateMay 16, 2011
Last NPPES UpdateSeptember 22, 2011
✔ NPI 1053604637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 60135
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.
1131 N VERMONT AVE, Los Angeles, CA 90029
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana 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. Norberto Bravo Lupisan 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 90029 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

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

DR. JAMES CHAN CASTELO D.D.S
Dentist
1131 N VERMONT AVE
LOS ANGELES, CA 90029
Los Angeles County (716) 923-3349

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 Norberto Lupisan's NPI number?

The NPI number for Norberto Lupisan is 1053604637. It was assigned to this individual provider in the NPPES registry on May 16, 2011.

Where is Norberto Lupisan located?

Norberto Lupisan practices at 1131 N Vermont Ave Ste. 103, Los Angeles, CA 90029. The listed phone number is (323) 913-1352.

What is Norberto Lupisan's specialty?

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

Is Norberto Lupisan enrolled in Medicare?

Yes. Norberto Lupisan is registered in the Medicare PECOS enrollment system.

What insurance does Norberto Lupisan accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Norberto Lupisan 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 Norberto Lupisan was last updated on September 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.