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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. THOMAS TERUMI OMOTO D.M.D
NPI 1407817208
Dentist - Oral and Maxillofacial Surgery in Rolling Hills Estates, CA

Active since March 31, 2006Opted out of Medicare · through May 20, 2028
927 DEEP VALLEY DR, ROLLING HILLS ESTATES, CA 90274(310) 377-0929(310) 377-0794 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Thomas Terumi Omoto D.m.d NPPES

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

DR. THOMAS TERUMI OMOTO D.M.D (NPI 1407817208) is an individual oral and maxillofacial surgery provider in Rolling Hills Estates, California, licensed in California (31506) and active in the NPI registry since March 2006. He has opted out of Medicare through May 20, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1407817208
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. THOMAS TERUMI OMOTOCredential: D.M.D
Location Address927 DEEP VALLEY DRRolling Hills Estates, CA 90274-3808
Mailing Address927 Deep Valley DrRolling Hills Estates, CA 90274-3836 · (310) 377-0929 · Fax (310) 377-0794
Phone(310) 377-0929
Fax(310) 377-0794
Sole ProprietorNo
Enumeration DateMarch 31, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1407817208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in CA · 31506
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.
927 DEEP VALLEY DR, Rolling Hills Estates, CA 90274
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Thomas Terumi Omoto D.m.d has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 20, 2016 through May 20, 2028.

Opt-Out Effective DateMay 20, 2016
Opt-Out In Effect ThroughMay 20, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90274 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 6

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

DR. EDWARD PRESTON LIEBERSBACH D.D.S.
Dentist (General Practice)
927 DEEP VALLEY DR, STE 220
ROLLING HILLS ESTATES, CA 90274
Los Angeles County (310) 377-5566
HELEN DUERR LMFT
Marriage & Family Therapist
927 DEEP VALLEY DR, SUITE 166
ROLLING HILLS ESTATES, CA 90274
Los Angeles County (310) 982-7978
DR. ANTHONY JAMES SKELLY SR. PHARMD
Pharmacist
927 DEEP VALLEY DR
ROLLING HILLS ESTATES, CA 90274
Los Angeles County (310) 377-4871
SUTHERLAND AND CRAVATT DDS INC
Dentist (General Practice)
927 DEEP VALLEY DR, SUITE 125
ROLLING HILLS ESTATES, CA 90274
Los Angeles County (310) 377-9575
CHRISTINE AIKO KUIDA MD
Internal Medicine
927 DEEP VALLEY DR, SUITE 255
ROLLING HILLS ESTATES, CA 90274
Los Angeles County (310) 541-9511
DR. SARO SETIAN D.D.S.
Dentist
927 DEEP VALLEY DR, #220
ROLLING HILLS ESTATES, CA 90274
Los Angeles County (310) 377-5566

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 Thomas Omoto's NPI number?

The NPI number for Thomas Omoto is 1407817208. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Where is Thomas Omoto located?

Thomas Omoto practices at 927 Deep Valley Dr, Rolling Hills Estates, CA 90274. The listed phone number is (310) 377-0929.

What is Thomas Omoto's specialty?

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

Is Thomas Omoto enrolled in Medicare?

No. Thomas Omoto has opted out of Medicare through May 20, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Thomas Omoto was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.