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DR. PETER BOUTROS DMD
NPI 1154058998
Dentist in West Covina, CA

Active since August 02, 2022PECOS Enrolled
1208 W FRANCISQUITO AVE, WEST COVINA, CA 91790(714) 262-6341 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 30, 2025, Aug 2, 2022 (2 updates tracked since 2022).

About Dr. Peter Boutros Dmd NPPES

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

DR. PETER BOUTROS DMD (NPI 1154058998) is an individual dentist in West Covina, California, licensed in California (107701) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154058998
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. PETER BOUTROSCredential: DMD
Location Address1208 W FRANCISQUITO AVEWest Covina, CA 91790-4780
Mailing AddressPo Box 4258Huntington Beach, CA 92605-4258
Phone(714) 262-6341
Sole ProprietorYes
Enumeration DateAugust 2, 2022
Last NPPES UpdateJune 30, 20252 updates tracked since enumeration
NPPES CertifiedJune 26, 2025
✔ NPI 1154058998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 107701
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.
1208 W FRANCISQUITO AVE, West Covina, CA 91790
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana 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. Peter Boutros Dmd 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 91790 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 3

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

DR. PHILIP WANG DMD/DDS
Dentist
1208 W FRANCISQUITO AVE
WEST COVINA, CA 91790
Los Angeles County (626) 964-9200
CHERAG DINSHAW SARKARI DDS A DENTAL CORPORATION
Dentist (General Practice)
1208 W FRANCISQUITO AVE, UNIT E
WEST COVINA, CA 91790
Los Angeles County (626) 917-0900
ALEX BENJAMIN TRINH DMD
Dentist
1208 W FRANCISQUITO AVE
WEST COVINA, CA 91790
Los Angeles County (626) 917-0900

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 Peter Boutros's NPI number?

The NPI number for Peter Boutros is 1154058998. It was assigned to this individual provider in the NPPES registry on August 2, 2022.

Where is Peter Boutros located?

Peter Boutros practices at 1208 W Francisquito Ave, West Covina, CA 91790. The listed phone number is (714) 262-6341.

What is Peter Boutros's specialty?

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

Is Peter Boutros enrolled in Medicare?

Yes. Peter Boutros is registered in the Medicare PECOS enrollment system.

What insurance does Peter Boutros 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 6 other insurers list Peter Boutros 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 Peter Boutros was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.