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CARLOS MANUEL ESPANA DDS
NPI 1508936709
Dentist - General Practice in Bonita, CA

Active since November 08, 2006PECOS Enrolled
145 WILLOW ST, #101, BONITA, CA 91902(619) 479-1942(619) 479-1192 Get Directions Write a Review

NPPES record last updated: February 20, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Carlos Manuel Espana Dds NPPES

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

CARLOS MANUEL ESPANA DDS (NPI 1508936709) is an individual general practice provider in Bonita, California, licensed in California (37658) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1508936709
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameCARLOS MANUEL ESPANACredential: DDS
Location Address145 WILLOW ST, #101Bonita, CA 91902-1349
Mailing Address145 Willow St, #101Bonita, CA 91902-1349 · (619) 479-1942 · Fax (619) 479-1192
Phone(619) 479-1942
Fax(619) 479-1192
Sole ProprietorYes
Enumeration DateNovember 8, 2006
Last NPPES UpdateFebruary 20, 2023
NPPES CertifiedFebruary 20, 2023
✔ NPI 1508936709 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 · 37658
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.
145 WILLOW ST, Bonita, CA 91902
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Secondary Practice Location 1

Location 11809 National AveSan Diego, CA 92113-2113 · Phone (619) 515-2300

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carlos Manuel Espana Dds 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.

Medicare Billing Reassignment

Medicare enrollment records show Carlos Espana reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Health Centers Of San Diego, Inc
2.6 mi
Federally Qualified Health Center (FQHC)
251 LANDIS AVE
Chula Vista, CA 91910
  • Reassigned Medicare billing, California enrollment
  • 1,100 clinicians in this Medicare group
NPI 1346480837 (619) 515-2500

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91902 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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 3

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

WILLIAM F. FISCHER DMD INC
Dentist
145 WILLOW ST, SUITE 100
BONITA, CA 91902
San Diego County (619) 482-9700
STEVEN H. FERRIOT, DDS A PROFESSIONAL CORPORATION
Dentist (General Practice)
145 WILLOW ST, SUITE 100
BONITA, CA 91902
San Diego County (619) 472-5456
STEVEN H FERRIOT DDS
Dentist (General Practice)
145 WILLOW ST, #101
BONITA, CA 91902
San Diego County (619) 479-1942

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 Carlos Espana's NPI number?

The NPI number for Carlos Espana is 1508936709. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is Carlos Espana located?

Carlos Espana practices at 145 Willow St #101, Bonita, CA 91902. The listed phone number is (619) 479-1942.

What is Carlos Espana's specialty?

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

Is Carlos Espana enrolled in Medicare?

Yes. Carlos Espana is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carlos Espana's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Espana reassigns Medicare benefits to Family Health Centers Of San Diego, Inc (Chula Vista, CA). The 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 Carlos Espana's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carlos Espana accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, HRI Dental & Vision and Humana and 2 other insurers list Carlos Espana 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 Carlos Espana was last updated on February 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.