DR. SANJAY M MALLYA B.D.S.
NPI 1538158043
Dentist - Oral and Maxillofacial Radiology in Los Angeles, CA
About Dr. Sanjay M Mallya B.d.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SANJAY M MALLYA B.D.S. (NPI 1538158043) is an individual oral and maxillofacial radiology provider in Los Angeles, California, licensed in California (SP-251) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Sanjay M Mallya B.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Sanjay Mallya reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90095
- Reassigned Medicare billing, California enrollment
- 128 clinicians in this Medicare group
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 90095 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
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 Sanjay Mallya's NPI number?
The NPI number for Sanjay Mallya is 1538158043. It was assigned to this individual provider in the NPPES registry on October 18, 2005.
Where is Sanjay Mallya located?
Sanjay Mallya practices at 10833 Le Conte Ave Chs 10-165, Los Angeles, CA 90095. The listed phone number is (310) 825-5634.
What is Sanjay Mallya's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Radiology, with taxonomy code 1223X0008X.
Is Sanjay Mallya enrolled in Medicare?
Yes. Sanjay Mallya is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Sanjay Mallya's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sanjay Mallya reassigns Medicare benefits to Regents Of The University Of California (Los Angeles, 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 Sanjay Mallya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Sanjay Mallya was last updated on March 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Dr. Sanjay M Mallya, B.D.S. · NPI 1538158043
Oral and Maxillofacial Radiology provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since October 18, 2005.
## Identity
- **NPI:** 1538158043 (Entity type: Individual)
- **Enumerated:** October 18, 2005
- **Primary specialty:** Dentist - Oral and Maxillofacial Radiology · taxonomy 1223X0008X
- **State license:** SP-251 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 10833 LE CONTE AVE, CHS 10-165, Los Angeles, CA 90095-1668
- **Phone:** (310) 825-5634 · **Fax:** (310) 206-2748
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Regents Of The University Of California (NPI 1104644988, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 2, 2010
- **Other identifiers:** Medicaid 004010807 (CT)
---
Source: [NPI Profile](https://npiprofile.com/npi/1538158043) · Data from the CMS NPPES public registry.