1. Home
  2. Directory
  3. California
  4. Sonora
  5. Dentist
  6. NPI Profile

DR. SLIM BOUCHOUCHA D.D.S.,M.S.
NPI 1275652422
Dentist - Oral and Maxillofacial Surgery in Sonora, CA

Active since March 28, 2007PECOS Enrolled
940 SYLVA LN, SUITE K1, SONORA, CA 95370(209) 532-5578(209) 532-6216 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Slim Bouchoucha D.d.s.,m.s. NPPES

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

DR. SLIM BOUCHOUCHA D.D.S.,M.S. (NPI 1275652422) is an individual oral and maxillofacial surgery provider in Sonora, California, licensed in California (41705) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275652422
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. SLIM BOUCHOUCHACredential: D.D.S.,M.S.
Location Address940 SYLVA LN, SUITE K1Sonora, CA 95370-5969
Mailing Address940 Sylva Ln, Suite K1Sonora, CA 95370-5969 · (209) 532-5578 · Fax (209) 532-6216
Phone(209) 532-5578
Fax(209) 532-6216
Sole ProprietorNo
Enumeration DateMarch 28, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1275652422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in CA · 41705
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
940 SYLVA LN, Sonora, CA 95370
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Slim Bouchoucha D.d.s.,m.s. 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.

Medicare Billing Reassignment

Medicare enrollment records show Slim Bouchoucha reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Los Angeles Auditor Controller
259 mi
Clinic/Center
335 E AVENUE I
Lancaster, CA 93535
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: County Of Los Angeles
  • 435 clinicians in this Medicare group
NPI 1366453045 (661) 948-8581

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95370 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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 11

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

CHARLES G COX MD MEDICAL CORPORATION
Internal Medicine (Gastroenterology)
940 SYLVA LN, BLDG. B
SONORA, CA 95370
Tuolumne County (209) 532-7281
SUZANNE LEE BOYNTON D.D.S.
Dentist (General Practice)
940 SYLVA LN, SUITE C
SONORA, CA 95370
Tuolumne County (209) 532-6931
NICOLE ARCHER RN
Registered Nurse
940 SYLVA LN
SONORA, CA 95370
Tuolumne County (209) 674-6197
ARTHUR N DONALDSON M D INC
Ophthalmology
940 SYLVA LN, STE.G
SONORA, CA 95370
Tuolumne County (209) 532-0340
ARTHUR N. DONALDSON, M.D., INC.
Eyewear Supplier
940 SYLVA LN, SUITE G
SONORA, CA 95370
Tuolumne County (209) 532-0340
FRANK E. WHITNEY, M.D., INC.
Orthopaedic Surgery
940 SYLVA LN, SUITE E
SONORA, CA 95370
Tuolumne County (209) 532-0126
ARTHUR N DONALDSON M D INC
Clinic/Center (Ambulatory Surgical)
940 SYLVA LN, SUITE G
SONORA, CA 95370
Tuolumne County (209) 532-0340
DR. FREDERICK R MATHEWS D.D.S.,M.S.
Dentist (Oral and Maxillofacial Surgery)
940 SYLVA LN, SUITE K1
SONORA, CA 95370
Tuolumne County (209) 532-5578

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 Slim Bouchoucha's NPI number?

The NPI number for Slim Bouchoucha is 1275652422. It was assigned to this individual provider in the NPPES registry on March 28, 2007.

Where is Slim Bouchoucha located?

Slim Bouchoucha practices at 940 Sylva Ln Suite K1, Sonora, CA 95370. The listed phone number is (209) 532-5578.

What is Slim Bouchoucha's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Slim Bouchoucha enrolled in Medicare?

Yes. Slim Bouchoucha is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Slim Bouchoucha's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Slim Bouchoucha reassigns Medicare benefits to County Of Los Angeles Auditor Controller (Lancaster, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Slim Bouchoucha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Slim Bouchoucha 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.