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DR. JAY SISON D.D.S., D.M.SC
NPI 1164510103
Dentist - Periodontics in Los Angeles, CA

Active since October 11, 2006PECOS Enrolled
10921 WILSHIRE BLVD, SUITE #611, LOS ANGELES, CA 90024(310) 208-3741(310) 208-4990 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jay Sison D.d.s., D.m.sc NPPES

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

DR. JAY SISON D.D.S., D.M.SC (NPI 1164510103) is an individual periodontics provider in Los Angeles, California, licensed in California (45409) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164510103
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. JAY SISONCredential: D.D.S., D.M.SC
Location Address10921 WILSHIRE BLVD, SUITE #611Los Angeles, CA 90024-3906
Mailing Address10921 Wilshire Blvd, Suite #611Los Angeles, CA 90024-3906 · (310) 208-3741 · Fax (310) 208-4990
Phone(310) 208-3741
Fax(310) 208-4990
Sole ProprietorYes
Enumeration DateOctober 11, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1164510103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in CA · 45409
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
10921 WILSHIRE BLVD, Los Angeles, CA 90024
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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)

Dr. Jay Sison D.d.s., D.m.sc 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 90024 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 20

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

EVAN MICHAEL KRANTZ M.D.
Anesthesiology
10921 WILSHIRE BLVD
LOS ANGELES, CA 90024
Los Angeles County (310) 209-7700
EDDIE HAROUNI, D.D.S.,INC.
Dentist (Endodontics)
10921 WILSHIRE BLVD, SUITE 807
LOS ANGELES, CA 90024
Los Angeles County (310) 209-5050
DR. ARDY SADEHKHOU DDS
Dentist
10921 WILSHIRE BLVD, 1212
LOS ANGELES, CA 90024
Los Angeles County (310) 443-4000
DR. JANE PICK PH.D.
Psychologist (Clinical)
10921 WILSHIRE BLVD, SUITE 412
LOS ANGELES, CA 90024
Los Angeles County (310) 367-5727
DR. ALAN LOUIS SHABO M.D.
Ophthalmology
10921 WILSHIRE BLVD, SUITE 1205
LOS ANGELES, CA 90024
Los Angeles County (310) 824-9661
WESTSIDE MULTISPECIALTY SURGERY CENTER, LP
Clinic/Center (Ambulatory Surgical)
10921 WILSHIRE BLVD, #1104
LOS ANGELES, CA 90024
Los Angeles County (310) 208-7744
MS. TINA LEE DIEHL O.D
Optometrist
10921 WILSHIRE BLVD, SUITE 900
LOS ANGELES, CA 90024
Los Angeles County (310) 208-3937
DR. TRACY G GOLDEN D.M.D.
Dentist (Periodontics)
10921 WILSHIRE BLVD, 1009
LOS ANGELES, CA 90024
Los Angeles County (310) 209-7572

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 Jay Sison's NPI number?

The NPI number for Jay Sison is 1164510103. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is Jay Sison located?

Jay Sison practices at 10921 Wilshire Blvd Suite #611, Los Angeles, CA 90024. The listed phone number is (310) 208-3741.

What is Jay Sison's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Jay Sison enrolled in Medicare?

Yes. Jay Sison is registered in the Medicare PECOS enrollment system.

What insurance does Jay Sison 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, HRI Dental & Vision and Humana and 2 other insurers list Jay Sison 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 Jay Sison was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.