DR. THOMAS S TANBONLIONG D.D.S.
NPI 1689886624
Dentist - Pediatric Dentistry in Los Angeles, CA
About Dr. Thomas S Tanbonliong D.d.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. THOMAS S TANBONLIONG D.D.S. (NPI 1689886624) is an individual pediatric dentistry provider in Los Angeles, California, licensed in California (42618) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Thomas S Tanbonliong D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Thomas Tanbonliong reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Francisco, CA 94143
- Reassigned Medicare billing, California enrollment
- 5,645 clinicians in this Medicare group
San Francisco, CA 94122
- Reassigned Medicare billing, California enrollment
- 5,544 clinicians in this Medicare group
San Francisco, CA 94143
- Reassigned Medicare billing, California enrollment
- 34 clinicians in this Medicare group
San Francisco, CA 94143
- Reassigned Medicare billing, California enrollment
- 29 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 90004 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
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 Thomas Tanbonliong's NPI number?
The NPI number for Thomas Tanbonliong is 1689886624. It was assigned to this individual provider in the NPPES registry on May 3, 2007.
Where is Thomas Tanbonliong located?
Thomas Tanbonliong practices at 411 N Larchmont Blvd, Los Angeles, CA 90004. The listed phone number is (323) 304-5763.
What is Thomas Tanbonliong's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.
Is Thomas Tanbonliong enrolled in Medicare?
Yes. Thomas Tanbonliong is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Thomas Tanbonliong's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Tanbonliong reassigns Medicare benefits to 4 organizations: University Of California San Francisco (San Francisco, CA), Ucsf Medical Group Business Services (San Francisco, CA), Ucsf Oral & Maxillofacial Surgery (San Francisco, CA) and Ucsf Oral Medicine Clinic (San Francisco, CA). Each 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 Thomas Tanbonliong'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 Thomas Tanbonliong was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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. Thomas S Tanbonliong, D.D.S. · NPI 1689886624
Pediatric Dentistry provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since May 3, 2007.
## Identity
- **NPI:** 1689886624 (Entity type: Individual)
- **Enumerated:** May 3, 2007
- **Primary specialty:** Dentist - Pediatric Dentistry · taxonomy 1223P0221X
- **State license:** 42618 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 411 N LARCHMONT BLVD, Los Angeles, CA 90004-3013
- **Phone:** (323) 304-5763
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): University Of California San Francisco (NPI 1346329380, San Francisco, CA); Ucsf Medical Group Business Services (NPI 1477624104, San Francisco, CA); Ucsf Oral & Maxillofacial Surgery (NPI 1679652598, San Francisco, CA); Ucsf Oral Medicine Clinic (NPI 1376612960, San Francisco, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1689886624) · Data from the CMS NPPES public registry.