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SAN DIEGO DENTAL HEALTH CENTER LLC
NPI 1386289478
Clinic/Center - Oral and Maxillofacial Surgery in La Jolla, CA

Active since November 12, 2019
9350 CAMPUS POINT DR, LA JOLLA, CA 92037(310) 307-6623 Get Directions Write a Review

NPPES record last updated: November 12, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About San Diego Dental Health Center Llc NPPES

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

SAN DIEGO DENTAL HEALTH CENTER LLC (NPI 1386289478) is a healthcare organization registered as an oral and maxillofacial surgery in La Jolla, California and active in the NPI registry since November 2019. The organization lists Katya Archambault, Owner, as its authorized official.

NPPES Registry Identity

NPI1386289478
Entity TypeOrganization
Primary Taxonomy261QS0112X
Legal Business NameSAN DIEGO DENTAL HEALTH CENTER LLC
Location Address9350 CAMPUS POINT DRLa Jolla, CA 92037-1300
Mailing Address9350 Campus Point DrLa Jolla, CA 92037-1300
Phone(310) 307-6623
Organization SubpartNo
Authorized OfficialKatya ArchambaultOwner · (310) 307-6623
Enumeration DateNovember 12, 2019
✔ NPI 1386289478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Oral and Maxillofacial SurgeryAmbulatory Health Care Facilities
Taxonomy Code261QS0112X
Definition
An oral and maxillofacial surgery clinic or center 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.
9350 CAMPUS POINT DR, La Jolla, CA 92037
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

San Diego Dental Health Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to San Diego Dental Health Center LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Katya Archambault, DMD
Oral Surgery
NPI 1700350485
9245 REGENTS RD UNIT M208
La Jolla, CA 92037
(310) 307-6623
✔ PECOS✔ Accepts Medicare0.6 mi

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

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 San Diego Dental Health Center LLC's NPI number?

The NPI number for San Diego Dental Health Center LLC is 1386289478. It was assigned to this organization in the NPPES registry on November 12, 2019.

Where is San Diego Dental Health Center LLC located?

San Diego Dental Health Center LLC is located at 9350 Campus Point Dr, La Jolla, CA 92037. The listed phone number is (310) 307-6623.

What is San Diego Dental Health Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oral and Maxillofacial Surgery, with taxonomy code 261QS0112X.

Is San Diego Dental Health Center LLC enrolled in Medicare?

Yes. San Diego Dental Health Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through San Diego Dental Health Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to San Diego Dental Health Center LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for San Diego Dental Health Center LLC was last updated on November 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.