DR. MARISOL DARLENE CEBALLOS DDS
NPI 1205423803
Dentist - General Practice in Los Angeles, CA

Q: What is Marisol Ceballos's NPI number?

The NPI number for Marisol Ceballos is 1205423803. It was assigned to this individual provider in the NPPES registry on December 29, 2020.

Q: What is Marisol Ceballos's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Marisol Ceballos was last updated on December 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 December 29, 2020PECOS Enrolled

3043 E 6TH ST, LOS ANGELES, CA 90023(323) 314-3718 Get Directions Write a Review

NPPES record last updated: December 29, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Marisol Darlene Ceballos Dds NPPES

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

DR. MARISOL DARLENE CEBALLOS DDS (NPI 1205423803) is an individual general practice provider in Los Angeles, California, licensed in California (105905) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205423803

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. MARISOL DARLENE CEBALLOSCredential: DDS

Location Address3043 E 6TH STLos Angeles, CA 90023-1610

Mailing Address3043 E 6th StLos Angeles, CA 90023-1610

Phone(323) 314-3718

Sole ProprietorNo

Enumeration DateDecember 29, 2020

NPPES CertifiedDecember 29, 2020

✔ NPI 1205423803 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 · 105905

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.

3043 E 6TH ST, Los Angeles, CA 90023

Open in Google Maps ↗

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. Marisol Darlene Ceballos 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 90023 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.

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 Marisol Ceballos's NPI number?

The NPI number for Marisol Ceballos is 1205423803. It was assigned to this individual provider in the NPPES registry on December 29, 2020.

Where is Marisol Ceballos located?

Marisol Ceballos practices at 3043 E 6th St, Los Angeles, CA 90023. The listed phone number is (323) 314-3718.

What is Marisol Ceballos's specialty?

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

Is Marisol Ceballos enrolled in Medicare?

Yes. Marisol Ceballos is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marisol Ceballos was last updated on December 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.