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DR. FERNANDO DE LA PENA D.M.D.
NPI 1174652135
Dentist - General Practice in Los Angeles, CA

Active since March 05, 2007Opted out of Medicare · through Nov 12, 2027
2701 BEVERLY BLVD, LOS ANGELES, CA 90057(213) 389-6211(213) 389-4168 Get Directions Write a Review

NPPES record last updated: September 9, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Fernando De La Pena D.m.d. NPPES

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

DR. FERNANDO DE LA PENA D.M.D. (NPI 1174652135) is an individual general practice provider in Los Angeles, California, licensed in California (43934) and active in the NPI registry since March 2007. He has opted out of Medicare through November 12, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1174652135
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. FERNANDO DE LA PENACredential: D.M.D.
Location Address2701 BEVERLY BLVDLos Angeles, CA 90057-1007
Mailing Address3020 Glenmanor PlLos Angeles, CA 90039-1711 · (323) 660-8646 · Fax (323) 660-8646
Phone(213) 389-6211
Fax(213) 389-4168
Sole ProprietorNo
Enumeration DateMarch 5, 2007
Last NPPES UpdateSeptember 9, 2008
✔ NPI 1174652135 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 · 43934
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.
2701 BEVERLY BLVD, Los Angeles, CA 90057
Open in Google Maps ↗

Other Identifiers 1

OtherB43934-01CA · Denti-cal Provider No.

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 Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Fernando De La Pena D.m.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 12, 2015 through November 12, 2027.

Opt-Out Effective DateNovember 12, 2015
Opt-Out In Effect ThroughNovember 12, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90057 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.

DR. FERNANDO DE LA PENA DENTAL CORPORATION
Dentist (General Practice)
2701 BEVERLY BLVD
LOS ANGELES, CA 90057
Los Angeles County (213) 389-6211

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 Fernando De La Pena's NPI number?

The NPI number for Fernando De La Pena is 1174652135. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Where is Fernando De La Pena located?

Fernando De La Pena practices at 2701 Beverly Blvd, Los Angeles, CA 90057. The listed phone number is (213) 389-6211.

What is Fernando De La Pena's specialty?

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

Is Fernando De La Pena enrolled in Medicare?

No. Fernando De La Pena has opted out of Medicare through November 12, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Fernando De La Pena accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Fernando De La Pena 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 Fernando De La Pena was last updated on September 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.