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DR. ALI POOTRAKUL D.D.S
NPI 1386795961
Dentist - Oral and Maxillofacial Surgery in Lawndale, CA

Active since January 12, 2007
16002 HAWTHORNE BLVD, LAWNDALE, CA 90260(310) 371-4104 Get Directions Write a Review

NPPES record last updated: November 18, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Ali Pootrakul D.d.s NPPES

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

DR. ALI POOTRAKUL D.D.S (NPI 1386795961) is an individual oral and maxillofacial surgery provider in Lawndale, California, licensed in California (60258) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1386795961
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. ALI POOTRAKULCredential: D.D.S
Location Address16002 HAWTHORNE BLVDLawndale, CA 90260-2646
Mailing Address8811 169th St, Oral Surgeon Suite 1st Fl.Jamaica, NY 11432-4430 · (718) 658-1200 · Fax (718) 658-1484
Phone(310) 371-4104
Sole ProprietorNo
Enumeration DateJanuary 12, 2007
Last NPPES UpdateNovember 18, 2019
✔ NPI 1386795961 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in CA · 60258✔ Licensed in NY · 052450
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.
16002 HAWTHORNE BLVD, Lawndale, CA 90260
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Other Identifiers 1

Medicaid02891830NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 2

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

TABIBI DENTAL CORPORATION
Dentist (General Practice)
16002 HAWTHORNE BLVD
LAWNDALE, CA 90260
Los Angeles County (310) 895-0133
DR. FARIBA TABIBI
Dentist
16002 HAWTHORNE BLVD
LAWNDALE, CA 90260
Los Angeles County (310) 371-4104

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 Ali Pootrakul's NPI number?

The NPI number for Ali Pootrakul is 1386795961. It was assigned to this individual provider in the NPPES registry on January 12, 2007.

Where is Ali Pootrakul located?

Ali Pootrakul practices at 16002 Hawthorne Blvd, Lawndale, CA 90260. The listed phone number is (310) 371-4104.

What is Ali Pootrakul's specialty?

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

What insurance does Ali Pootrakul accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Ali Pootrakul as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ali Pootrakul was last updated on November 18, 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.