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DR. DEREK L VAJDA DDS, MD
NPI 1548618648
Dentist - Oral and Maxillofacial Surgery in Santa Monica, CA

Active since May 31, 2016Opted out of Medicare · through Aug 2, 2027
1541 CENTINELA AVE APT 105, SANTA MONICA, CA 90404(219) 789-8308 Get Directions Write a Review

NPPES record last updated: July 9, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 9, 2021, Apr 22, 2021, Mar 19, 2021 (3 updates tracked since 2021).

About Dr. Derek L Vajda Dds, Md NPPES

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

DR. DEREK L VAJDA DDS, MD (NPI 1548618648) is an individual oral and maxillofacial surgery provider in Santa Monica, California, licensed in California (65363) and active in the NPI registry since May 2016. He has opted out of Medicare through August 2, 2027.

NPPES Registry Identity

NPI1548618648
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. DEREK L VAJDACredential: DDS, MD
Location Address1541 CENTINELA AVE APT 105Santa Monica, CA 90404-3222
Mailing Address1541 Centinela Ave Apt 105Santa Monica, CA 90404-3222 · (219) 789-8308
Phone(219) 789-8308
Sole ProprietorYes
Enumeration DateMay 31, 2016
Last NPPES UpdateJuly 9, 20213 updates tracked since enumeration
NPPES CertifiedJuly 9, 2021
✔ NPI 1548618648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in CA · 65363✔ Licensed in NM · DD5450
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.
1541 CENTINELA AVE APT 105, Santa Monica, CA 90404
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dr. Derek L Vajda Dds, Md 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 August 2, 2021 through August 2, 2027.

Opt-Out Effective DateAugust 2, 2021
Opt-Out In Effect ThroughAugust 2, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Derek Vajda's NPI number?

The NPI number for Derek Vajda is 1548618648. It was assigned to this individual provider in the NPPES registry on May 31, 2016.

Where is Derek Vajda located?

Derek Vajda practices at 1541 Centinela Ave Apt 105, Santa Monica, CA 90404. The listed phone number is (219) 789-8308.

What is Derek Vajda's specialty?

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

Is Derek Vajda enrolled in Medicare?

No. Derek Vajda has opted out of Medicare through August 2, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Derek Vajda 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 Derek Vajda 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 Derek Vajda was last updated on July 9, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.