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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ETHAN CO DDS
NPI 1699506154
Dentist in San Gabriel, CA

Active since August 08, 2024PECOS Enrolled
416 W LAS TUNAS DR STE 107, SAN GABRIEL, CA 91776(626) 872-6352 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ethan Co Dds NPPES

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

DR. ETHAN CO DDS (NPI 1699506154) is an individual dentist in San Gabriel, California, licensed in California (110234) and active in the NPI registry since August 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1699506154
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. ETHAN COCredential: DDS
Location Address416 W LAS TUNAS DR STE 107San Gabriel, CA 91776-1236
Mailing Address5049 Princess Anne RdLa Canada, CA 91011-2424 · (818) 415-6578
Phone(626) 872-6352
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 8, 2024
Last NPPES UpdateJuly 29, 2026
NPPES CertifiedJuly 29, 2026
✔ NPI 1699506154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 110234
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
416 W LAS TUNAS DR STE 107, San Gabriel, CA 91776
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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

✔

Enrolled in Medicare (PECOS)

Dr. Ethan Co Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911414065
PECOS Enrollment IDI20250724003045
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91776 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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

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

TRGONZALES DDS DENTAL CORPORATION
Clinic/Center (Oral and Maxillofacial Surgery)
416 W LAS TUNAS DR STE 107
SAN GABRIEL, CA 91776
Los Angeles County (626) 872-6352

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 Ethan Co's NPI number?

The NPI number for Ethan Co is 1699506154. It was assigned to this individual provider in the NPPES registry on August 8, 2024.

Where is Ethan Co located?

Ethan Co practices at 416 W Las Tunas Dr Ste 107, San Gabriel, CA 91776. The listed phone number is (626) 872-6352.

What is Ethan Co's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Ethan Co enrolled in Medicare?

Yes. Ethan Co is registered in the Medicare PECOS enrollment system.

What insurance does Ethan Co 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 Ethan Co 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 Ethan Co was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.