DR. SEAN SUNYOTO DDS
NPI 1124514112
Dentist in Los Angeles, CA

Q: What is Sean Sunyoto's NPI number?

The NPI number for Sean Sunyoto is 1124514112. It was assigned to this individual provider in the NPPES registry on July 3, 2018.

Q: What is Sean Sunyoto's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Sean Sunyoto was last updated on July 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since July 03, 2018PECOS Enrolled

936 CRENSHAW BLVD STE 101, LOS ANGELES, CA 90019(323) 934-2804 Get Directions Write a Review

NPPES record last updated: July 3, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Sean Sunyoto Dds NPPES

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

DR. SEAN SUNYOTO DDS (NPI 1124514112) is an individual dentist in Los Angeles, California, licensed in California (102689) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124514112

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. SEAN SUNYOTOCredential: DDS

Location Address936 CRENSHAW BLVD STE 101Los Angeles, CA 90019-1948

Mailing Address17840 Powell PlArtesia, CA 90701-3879 · (626) 510-2606

Phone(323) 934-2804

Sole ProprietorNo

Enumeration DateJuly 3, 2018

✔ NPI 1124514112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 102689

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

936 CRENSHAW BLVD STE 101, Los Angeles, CA 90019

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Accepted Insurance

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

Dr. Sean Sunyoto 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 90019 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

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

MICHAEL ISSAKHARIAN DDS

Dentist (Oral and Maxillofacial Surgery)

936 CRENSHAW BLVD STE 101
LOS ANGELES, CA 90019

Los Angeles County (323) 934-2804

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 Sean Sunyoto's NPI number?

The NPI number for Sean Sunyoto is 1124514112. It was assigned to this individual provider in the NPPES registry on July 3, 2018.

Where is Sean Sunyoto located?

Sean Sunyoto practices at 936 Crenshaw Blvd Ste 101, Los Angeles, CA 90019. The listed phone number is (323) 934-2804.

What is Sean Sunyoto's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Sean Sunyoto enrolled in Medicare?

Yes. Sean Sunyoto is registered in the Medicare PECOS enrollment system.

What insurance does Sean Sunyoto accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 4 other insurers list Sean Sunyoto 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 Sean Sunyoto was last updated on July 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.