BENJAMIN WILLIAM WALLINE DDS, MD
NPI 1073707212
Otolaryngology - Plastic Surgery within the Head & Neck in Los Angeles, CA

Active since August 30, 2007Opted out of Medicare · through Mar 23, 2028
2080 CENTURY PARK E, #610, LOS ANGELES, CA 90067(310) 842-4811(310) 286-2177 Get Directions Write a Review

NPPES record last updated: October 16, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Benjamin William Walline Dds, Md NPPES

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

BENJAMIN WILLIAM WALLINE DDS, MD (NPI 1073707212) is an individual plastic surgery within the head & neck provider in Los Angeles, California, licensed in California (A98343) and active in the NPI registry since August 2007. He has opted out of Medicare through March 23, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1073707212
Entity TypeIndividualMale
Primary Taxonomy207YX0007X
Provider Legal NameBENJAMIN WILLIAM WALLINECredential: DDS, MD
Location Address2080 CENTURY PARK E, #610Los Angeles, CA 90067-2001
Mailing Address2080 Century Park E, #610Los Angeles, CA 90067-2001 · (310) 842-4811 · Fax (310) 286-2177
Fax(310) 286-2177
Sole ProprietorNo
Enumeration DateAugust 30, 2007
Last NPPES UpdateOctober 16, 2012
NPI 1073707212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians
Taxonomy Code207YX0007X
License Licensed in CA · A98343
Definition

An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.

2080 CENTURY PARK E, Los Angeles, CA 90067

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Benjamin William Walline Dds, Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 23, 2016 through March 23, 2028.

Opt-Out Effective DateMarch 23, 2016
Opt-Out In Effect ThroughMarch 23, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

Internal Medicine (Endocrinology, Diabetes & Metabolism)
2080 CENTURY PARK E, SUITE 1609
LOS ANGELES, CA 90067
Registered Nurse (Oncology)
2080 CENTURY PARK E, STE 1005
LAS ANGELES, CA 90067
Internal Medicine
2080 CENTURY PARK E, SUITE 807
LOS ANGELES, CA 90067
Nurse Practitioner
2080 CENTURY PARK E
LOS ANGELES, CA 90067
Internal Medicine
2080 CENTURY PARK E, SUITE 1804
LOS ANGELES, CA 90067
Urology
2080 CENTURY PARK E, SUITE 1407
LOS ANGELES, CA 90067
Internal Medicine
2080 CENTURY PARK E, SUITE 1605
LOS ANGELES, CA 90067
Clinic/Center (Medical Specialty)
2080 CENTURY PARK E, SUITE 1703
LOS ANGELES, CA 90067

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 Benjamin Walline's NPI number?

The NPI number for Benjamin Walline is 1073707212. It was assigned to this individual provider in the NPPES registry on August 30, 2007.

Where is Benjamin Walline located?

Benjamin Walline practices at 2080 Century Park E #610, Los Angeles, CA 90067. The listed phone number is (310) 842-4811.

What is Benjamin Walline's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

Is Benjamin Walline enrolled in Medicare?

No. Benjamin Walline has opted out of Medicare through March 23, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Benjamin Walline 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 Humana list Benjamin Walline 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 Benjamin Walline was last updated on October 16, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.