CHARISMA FLORES LASAM DMD
NPI 1083808919
Dentist - General Practice in Covina, CA

Active since September 04, 2007PECOS Enrolled
4708 N GRAND AVE, COVINA, CA 91724(626) 332-8608(626) 332-8216 Get Directions Write a Review

NPPES record last updated: July 26, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Charisma Flores Lasam Dmd NPPES

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

CHARISMA FLORES LASAM DMD (NPI 1083808919) is an individual general practice provider in Covina, California, licensed in California (54169) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083808919
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameCHARISMA FLORES LASAMCredential: DMD
Location Address4708 N GRAND AVECovina, CA 91724-2005
Mailing Address4708 N Grand AveCovina, CA 91724-2005 · (626) 332-8608 · Fax (626) 332-8216
Fax(626) 332-8216
Sole ProprietorNo
Enumeration DateSeptember 4, 2007
Last NPPES UpdateJuly 26, 2014
NPI 1083808919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 54169
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

4708 N GRAND AVE, Covina, CA 91724

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Charisma Flores Lasam Dmd 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 91724 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 2

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

Dentist (General Practice)
4708 N GRAND AVE
COVINA, CA 91724
Dentist
4708 N GRAND AVE
COVINA, CA 91724

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 Charisma Lasam's NPI number?

The NPI number for Charisma Lasam is 1083808919. It was assigned to this individual provider in the NPPES registry on September 4, 2007.

Where is Charisma Lasam located?

Charisma Lasam practices at 4708 N Grand Ave, Covina, CA 91724. The listed phone number is (626) 332-8608.

What is Charisma Lasam's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Charisma Lasam enrolled in Medicare?

Yes. Charisma Lasam is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charisma Lasam was last updated on July 26, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.