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SUMMER ANGELYN ANDRADA DMD
NPI 1376217752
Dentist - General Practice in Los Angeles, CA

Active since August 09, 2021PECOS Enrolled
5850 S MAIN ST, LOS ANGELES, CA 90003(909) 538-2528 Get Directions Write a Review

NPPES record last updated: October 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 10, 2022, Aug 9, 2021 (2 updates tracked since 2021).

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

NPI1376217752
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameSUMMER ANGELYN ANDRADACredential: DMD
Location Address5850 S MAIN STLos Angeles, CA 90003-1215
Mailing Address75 W Holly St Ste Unit4005Pasadena, CA 91103-3946 · (909) 538-2528
Phone(909) 538-2528
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 9, 2021
Last NPPES UpdateOctober 10, 20222 updates tracked since enumeration
NPPES CertifiedOctober 10, 2022
✔ NPI 1376217752 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 · DDS106431
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.
5850 S MAIN ST, Los Angeles, CA 90003
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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)

Summer Angelyn Andrada Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092201855
PECOS Enrollment IDI20251231001049
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 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.

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.

COURTNEY HARRIS LVN
Licensed Vocational Nurse
5850 S MAIN ST
LOS ANGELES, CA 90003
Los Angeles County (323) 897-6320
MRS. VALERIA JACQUENETTE COOPER PA-C
Physician Assistant (Medical)
5850 S MAIN ST
LOS ANGELES, CA 90003
Los Angeles County (323) 846-4266
MARIA G. LIRA
Registered Nurse (Ambulatory Care)
5850 S MAIN ST
LOS ANGELES, CA 90003
Los Angeles County (323) 897-6049
HUI LING HUANG MD
Internal Medicine
5850 S MAIN ST
LOS ANGELES, CA 90003
Los Angeles County (323) 897-6000
MRS. FANNIE CAMPOY LASERNA
Registered Nurse
5850 S MAIN ST
LOS ANGELES, CA 90003
Los Angeles County (323) 897-6079
MRS. BRENDA ANN DACOSTA NP
Nurse Practitioner
5850 S MAIN ST
LOS ANGELES, CA 90003
Los Angeles County (323) 846-4265
MIRIAM M LUCHA LVN
Licensed Vocational Nurse
5850 S MAIN ST
LOS ANGELES, CA 90003
Los Angeles County (323) 897-6000
DR. LUTFUL K AKHANJEE MD
Family Medicine
5850 S MAIN ST
LOS ANGELES, CA 90003
Los Angeles County (323) 846-4101

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.

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 3 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.