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

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: October 25, 2026.

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

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 and is a graduate of Columbia University College Of Dental Medicine (2022).

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
Medical School CMSColumbia University College Of Dental MedicineGraduated 2022
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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Liana Penafiel Wonsang Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193265791
PECOS Enrollment IDI20260619001996
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.

Medicare Billing Reassignment

Medicare enrollment records show Liana Penafiel Wonsang reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cares Community Health
3.8 mi
Federally Qualified Health Center (FQHC)
1500 21ST ST
Sacramento, CA 95814
  • Reassigned Medicare billing, California enrollment
  • 68 clinicians in this Medicare group
NPI 1447297379 (916) 443-3299

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 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)
1276 HALYARD DR
WEST SACRAMENTO, CA 95691
Yolo County (916) 454-2345
DR. KEITH ALFRED HOPKINS M.D.
Internal Medicine
1276 HALYARD DR
WEST SACRAMENTO, CA 95691
Yolo County (916) 454-2345
MS. NANCY O EKEKE M.D.
Internal Medicine
1276 HALYARD DR
WEST SACRAMENTO, CA 95691
Yolo County (916) 454-2345
JESSICA CHENG
Pediatrics
1276 HALYARD DR
WEST SACRAMENTO, CA 95691
Yolo County (916) 569-8484
ELICA HEALTH CENTERS
Clinic/Center (Federally Qualified Health Center (FQHC))
1276 HALYARD DR
WEST SACRAMENTO, CA 95691
Yolo County (916) 454-2345
DR. MARIA LUISA NUNEZ-OIJU D.D.S.
Dentist (General Practice)
1276 HALYARD DR
WEST SACRAMENTO, CA 95691
Yolo County (855) 354-2242
MS. AMELIA ELISABETH STORM
Health and Wellness Coach
1276 HALYARD DR
WEST SACRAMENTO, CA 95691
Yolo County (916) 454-2345
MAUREEN NICOLE COPELAND NP
Nurse Practitioner (Adult Health)
1276 HALYARD DR
W SACRAMENTO, CA 95691
Yolo County (916) 454-2345

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 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.

Where is Liana Penafiel Wonsang located?

Liana Penafiel Wonsang practices at 1276 Halyard Dr, West Sacramento, CA 95691. The listed phone number is (916) 454-2345.

What is Liana Penafiel Wonsang's specialty?

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

Is Liana Penafiel Wonsang enrolled in Medicare?

Yes. Liana Penafiel Wonsang is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Liana Penafiel Wonsang's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Liana Penafiel Wonsang reassigns Medicare benefits to Cares Community Health (Sacramento, 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 Liana Penafiel Wonsang's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Liana Penafiel Wonsang accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental and 1 other insurer list Liana Penafiel Wonsang 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 Liana Penafiel Wonsang was last updated on September 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.