DR. HYACINTH EZEBILO EZEANI DDS
NPI 1104016765
Dentist - General Practice in Carson, CA

Active since July 30, 2007PECOS Enrolled
20763 AVALON BLVD, CARSON, CA 90746(310) 719-1865 Get Directions Write a Review

NPPES record last updated: April 8, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Hyacinth Ezebilo Ezeani Dds NPPES

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

DR. HYACINTH EZEBILO EZEANI DDS (NPI 1104016765) is an individual general practice provider in Carson, California, licensed in California (39398) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104016765
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. HYACINTH EZEBILO EZEANICredential: DDS
Location Address20763 AVALON BLVDCarson, CA 90746-3313
Mailing Address600 W Manchester Ave Ste 2Los Angeles, CA 90044-5700 · (323) 750-1582
Sole ProprietorNo
Enumeration DateJuly 30, 2007
Last NPPES UpdateApril 8, 2015
NPI 1104016765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 39398
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.
Also ListedDentistTaxonomy 122300000X · License 39398 (CA)
20763 AVALON BLVD, Carson, CA 90746

Accepted 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. Hyacinth Ezebilo Ezeani 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 90746 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.

Optometrist
20763 AVALON BLVD
CARSON, CA 90746
Dentist
20763 AVALON BLVD
CARSON, CA 90746

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 Hyacinth Ezeani's NPI number?

The NPI number for Hyacinth Ezeani is 1104016765. It was assigned to this individual provider in the NPPES registry on July 30, 2007.

Where is Hyacinth Ezeani located?

Hyacinth Ezeani practices at 20763 Avalon Blvd, Carson, CA 90746. The listed phone number is (310) 719-1865.

What is Hyacinth Ezeani's specialty?

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

Is Hyacinth Ezeani enrolled in Medicare?

Yes. Hyacinth Ezeani is registered in the Medicare PECOS enrollment system.

What insurance does Hyacinth Ezeani accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Hyacinth Ezeani 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 Hyacinth Ezeani was last updated on April 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.