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DR. JOAN OTOMO-CORGEL DDS, MPH
NPI 1346356045
Dentist - Periodontics in Los Angeles, CA

Active since August 22, 2006PECOS Enrolled
1127 WILSHIRE BLVD, SUITE #1110, LOS ANGELES, CA 90017(213) 481-0664(213) 481-2902 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. Joan Otomo-corgel Dds, Mph NPPES

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

DR. JOAN OTOMO-CORGEL DDS, MPH (NPI 1346356045) is an individual periodontics provider in Los Angeles, California, licensed in California (25754) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346356045
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameDR. JOAN OTOMO-CORGELCredential: DDS, MPH
Location Address1127 WILSHIRE BLVD, SUITE #1110Los Angeles, CA 90017-3901
Mailing Address2900 Manhattan AveManhattan Beach, CA 90266-2051 · (310) 546-3239 · Fax (310) 545-4485
Phone(213) 481-0664
Fax(213) 481-2902
Sole ProprietorNo
Enumeration DateAugust 22, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1346356045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in CA · 25754
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.
1127 WILSHIRE BLVD, Los Angeles, CA 90017
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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. Joan Otomo-corgel Dds, Mph 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 90017 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.

LAU DENTAL GROUP
Dentist (General Practice)
1127 WILSHIRE BLVD, SUITE #1608
LOS ANGELES, CA 90017
Los Angeles County (213) 481-1100
DR. ADELAIDA T QUINGCO DDS
Dentist (General Practice)
1127 WILSHIRE BLVD, SUITE 1103
LOS ANGELES, CA 90017
Los Angeles County (213) 250-3998
RACHAEL LYNN CAYCE MD
Dermatology
1127 WILSHIRE BLVD, STE 600
LOS ANGELES, CA 90017
Los Angeles County (213) 278-0021
DR. OTHELLA THERESA OWENS MD
Otolaryngology (Plastic Surgery within the Head & Neck)
1127 WILSHIRE BLVD, SUITE 1604
LOS ANGELES, CA 90017
Los Angeles County (213) 250-5470
DR. ARLIENE O YAP M.D.
Specialist
1127 WILSHIRE BLVD, SUITE 507
LOS ANGELES, CA 90017
Los Angeles County (213) 380-4604
WILSHIRE CENTER FOR AMBULATORY SURGERY, INC.
Clinic/Center (Ophthalmologic Surgery)
1127 WILSHIRE BLVD, SUITE 1515
LOS ANGELES, CA 90017
Los Angeles County (213) 250-7243
SAN CRISTOBAL MEDICAL GROUP, INC
Pain Medicine (Interventional Pain Medicine)
1127 WILSHIRE BLVD, STE 820
LOS ANGELES, CA 90017
Los Angeles County (213) 413-4203
UNITED MEDICAL RADIOLOGY NETWORK
Clinic/Center (Radiology)
1127 WILSHIRE BLVD, # 100
LOS ANGELES, CA 90017
Los Angeles County (213) 202-5785

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 Joan Otomo-corgel's NPI number?

The NPI number for Joan Otomo-corgel is 1346356045. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Where is Joan Otomo-corgel located?

Joan Otomo-corgel practices at 1127 Wilshire Blvd Suite #1110, Los Angeles, CA 90017. The listed phone number is (213) 481-0664.

What is Joan Otomo-corgel's specialty?

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

Is Joan Otomo-corgel enrolled in Medicare?

Yes. Joan Otomo-corgel is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Joan Otomo-corgel 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.