LIANA PENAFIEL WONSANG DDS
NPI 1104566884
Dentist - General Practice in West Sacramento, CA

Q: What is Liana Penafiel Wonsang's NPI number?

The NPI number for Liana Penafiel Wonsang is 1104566884. It was assigned to this individual provider in the NPPES registry on March 30, 2022.

Q: What is Liana Penafiel Wonsang's specialty?

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

Active since March 30, 2022PECOS Enrolled

1276 HALYARD DR, WEST SACRAMENTO, CA 95691(916) 454-2345(916) 457-2667 Get Directions Write a Review

NPPES record last updated: September 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 20, 2024, Jul 21, 2023, Mar 28, 2023 and 1 more (4 updates tracked since 2022).

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About Liana Penafiel Wonsang Dds NPPES

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

LIANA PENAFIEL WONSANG DDS (NPI 1104566884) is an individual general practice provider in West Sacramento, California, licensed in California (110010) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104566884

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameLIANA PENAFIEL WONSANGCredential: DDS

Location Address1276 HALYARD DRWest Sacramento, CA 95691-3412

Mailing Address1860 Howe Ave Ste 440Sacramento, CA 95825-1098 · (916) 569-8484 · Fax (916) 256-2214

Phone(916) 454-2345

Fax(916) 457-2667

Sole ProprietorNo

Enumeration DateMarch 30, 2022

Last NPPES UpdateSeptember 20, 20244 updates tracked since enumeration

NPPES CertifiedSeptember 20, 2024

✔ NPI 1104566884 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 · 110010

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.

1276 HALYARD DR, West Sacramento, CA 95691

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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)

Liana Penafiel Wonsang 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 95691 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

$92.61 typical visit price

range $60.44 – $180.85

Typical copayment $23.15 (range $15.11 – $45.21)

Most-billed visit code 99203

Established Patient

$75.03 typical visit price

range $19.88 – $148.15

Typical copayment $18.75 (range $4.97 – $37.03)

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 20

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

DR. AVNI SHARMA

Dentist (General Practice)