DR. HYACINTH EZEBILO EZEANI DDS
NPI 1104016765
Dentist - General Practice in Carson, CA
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
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Hyacinth Ezebilo Ezeani Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Hyacinth Ezeani reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Carson, CA 90746
- Reassigned Medicare billing, California enrollment
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 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.
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.
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.
Which organization bills Medicare for Hyacinth Ezeani's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Hyacinth Ezeani reassigns Medicare benefits to Ezeani DDS Dental Corp (Carson, 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 Hyacinth Ezeani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Hyacinth Ezeani 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 11 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.
# Dr. Hyacinth Ezebilo Ezeani, DDS · NPI 1104016765
General Practice provider in Carson, California. Individual provider, active in the CMS NPPES registry since July 30, 2007.
## Identity
- **NPI:** 1104016765 (Entity type: Individual)
- **Enumerated:** July 30, 2007
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 39398 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 20763 AVALON BLVD, Carson, CA 90746-3313
- **Phone:** (310) 719-1865
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Ezeani DDS Dental Corp (NPI 1689896458, Carson, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 8, 2015
---
Source: [NPI Profile](https://npiprofile.com/npi/1104016765) · Data from the CMS NPPES public registry.