ANDIA EZZATI
NPI 1457117152
Dentist - General Practice in Encino, CA

Active since February 21, 2024PECOS Enrolled
5501 NEWCASTLE AVE APT 202, ENCINO, CA 91316(818) 277-9442 Get Directions Write a Review

NPPES record last updated: January 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andia Ezzati NPPES

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

ANDIA EZZATI (NPI 1457117152) is an individual general practice provider in Encino, California, licensed in California (109836) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457117152
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameANDIA EZZATI
Location Address5501 NEWCASTLE AVE APT 202Encino, CA 91316-2176
Mailing Address5501 Newcastle Ave Apt 202Encino, CA 91316-2176 · (818) 277-9442
Sole ProprietorYes
Enumeration DateFebruary 21, 2024
Last NPPES UpdateJanuary 8, 2025
NPPES CertifiedJanuary 8, 2025
NPI 1457117152 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 · 109836
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.
5501 NEWCASTLE AVE APT 202, Encino, CA 91316

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Andia Ezzati is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 91316 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

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

Dentist
5501 NEWCASTLE AVE APT 202
ENCINO, CA 91316

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 Andia Ezzati's NPI number?

The NPI number for Andia Ezzati is 1457117152. It was assigned to this individual provider in the NPPES registry on February 21, 2024.

Where is Andia Ezzati located?

Andia Ezzati practices at 5501 Newcastle Ave Apt 202, Encino, CA 91316. The listed phone number is (818) 277-9442.

What is Andia Ezzati's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Andia Ezzati enrolled in Medicare?

Yes. Andia Ezzati is registered in the Medicare PECOS enrollment system.

What insurance does Andia Ezzati accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Andia Ezzati 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 Andia Ezzati was last updated on January 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.