IVANA YI
NPI 1457993610
Dentist - Periodontics in Los Alamitos, CA
About Ivana Yi NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IVANA YI (NPI 1457993610) is an individual periodontics provider in Los Alamitos, California, licensed in California (104710) and active in the NPI registry since October 2019. She has opted out of Medicare through April 5, 2028 and remains eligible to order and refer and maintains a secondary practice location in Los Angeles.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Ivana Yi 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 April 5, 2024 through April 5, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90720 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LOS ALAMITOS, CA 90720
LOS ALAMITOS, CA 90720
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 Ivana Yi's NPI number?
The NPI number for Ivana Yi is 1457993610. It was assigned to this individual provider in the NPPES registry on October 9, 2019.
Where is Ivana Yi located?
Ivana Yi practices at 4281 Katella Ave Ste 112, Los Alamitos, CA 90720. The listed phone number is (714) 484-8700.
What is Ivana Yi's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.
Is Ivana Yi enrolled in Medicare?
No. Ivana Yi has opted out of Medicare through April 5, 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.
What insurance does Ivana Yi accept?
Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Ivana Yi 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 Ivana Yi was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Ivana Yi · NPI 1457993610
Periodontics provider in Los Alamitos, California. Individual provider, active in the CMS NPPES registry since October 9, 2019.
## Identity
- **NPI:** 1457993610 (Entity type: Individual)
- **Enumerated:** October 9, 2019
- **Primary specialty:** Dentist - Periodontics · taxonomy 1223P0300X
- **State license:** 104710 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4281 KATELLA AVE STE 112, Los Alamitos, CA 90720-3502
- **Phone:** (714) 484-8700
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through April 5, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** July 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1457993610) · Data from the CMS NPPES public registry.