PREETI PRAKASH
NPI 1629309042
Dentist in Earlimart, CA
About Preeti Prakash NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PREETI PRAKASH (NPI 1629309042) is an individual dentist in Earlimart, California, licensed in California (57702) and active in the NPI registry since January 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2000).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Preeti Prakash is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Preeti Prakash reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92103
- Reassigned Medicare billing, California enrollment
- 51 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 93219 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.
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 Preeti Prakash's NPI number?
The NPI number for Preeti Prakash is 1629309042. It was assigned to this individual provider in the NPPES registry on January 25, 2010.
Where is Preeti Prakash located?
Preeti Prakash practices at 476 E Washington Ave, Earlimart, CA 93219. The listed phone number is (661) 849-2781.
What is Preeti Prakash's specialty?
The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.
Is Preeti Prakash enrolled in Medicare?
Yes. Preeti Prakash is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Preeti Prakash's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Preeti Prakash reassigns Medicare benefits to San Diego American Indian Health Center (San Diego, 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 Preeti Prakash's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Preeti Prakash accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 2 other insurers list Preeti Prakash 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 Preeti Prakash was last updated on December 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Preeti Prakash · NPI 1629309042
Dentist provider in Earlimart, California. Individual provider, active in the CMS NPPES registry since January 25, 2010.
## Identity
- **NPI:** 1629309042 (Entity type: Individual)
- **Enumerated:** January 25, 2010
- **Primary specialty:** Dentist · taxonomy 122300000X
- **State license:** 57702 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 476 E WASHINGTON AVE, Earlimart, CA 93219
- **Phone:** (661) 849-2781
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** San Diego American Indian Health Center (NPI 1003902917, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2000
## Record status
- **NPPES last updated:** December 21, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1629309042) · Data from the CMS NPPES public registry.