SUMMER ANGELYN ANDRADA DMD
NPI 1376217752
Dentist - General Practice in Los Angeles, CA
About Summer Angelyn Andrada Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUMMER ANGELYN ANDRADA DMD (NPI 1376217752) is an individual general practice provider in Los Angeles, California, licensed in California (DDS106431) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Summer Angelyn Andrada Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Summer Andrada reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90003
- Reassigned Medicare billing, California enrollment
- 1,939 clinicians in this Medicare group
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 90003 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LOS ANGELES, CA 90003
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 Summer Andrada's NPI number?
The NPI number for Summer Andrada is 1376217752. It was assigned to this individual provider in the NPPES registry on August 9, 2021.
Where is Summer Andrada located?
Summer Andrada practices at 5850 S Main St, Los Angeles, CA 90003. The listed phone number is (909) 538-2528.
What is Summer Andrada's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Summer Andrada enrolled in Medicare?
Yes. Summer Andrada is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Summer Andrada's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Summer Andrada reassigns Medicare benefits to County Of Los Angeles (Los Angeles, 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 Summer Andrada'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 Summer Andrada was last updated on October 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Summer Angelyn Andrada, DMD · NPI 1376217752
General Practice provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since August 9, 2021.
## Identity
- **NPI:** 1376217752 (Entity type: Individual)
- **Enumerated:** August 9, 2021
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** DDS106431 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5850 S MAIN ST, Los Angeles, CA 90003-1215
- **Phone:** (909) 538-2528
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** County Of Los Angeles (NPI 1346258720, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** October 10, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1376217752) · Data from the CMS NPPES public registry.