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DR. BERNARD KOO DDS
NPI 1699803049
Dentist in Los Angeles, CA

Active since February 28, 2007PECOS Enrolled
420 ORD ST, SUITE 102-A, LOS ANGELES, CA 90012(213) 617-0136 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Bernard Koo Dds NPPES

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

DR. BERNARD KOO DDS (NPI 1699803049) is an individual dentist in Los Angeles, California, licensed in California (37437) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699803049
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. BERNARD KOOCredential: DDS
Location Address420 ORD ST, SUITE 102-ALos Angeles, CA 90012-2834
Mailing Address1490 AtollWest Covina, CA 91790-3383 · (626) 960-9660
Phone(213) 617-0136
Sole ProprietorYes
Enumeration DateFebruary 28, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1699803049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 37437
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.
420 ORD ST, Los Angeles, CA 90012
Open in Google Maps ↗

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. Bernard Koo Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 90012 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 3

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

TIMOTHY STEVEN MOY DDS
Dentist
420 ORD ST, #102-A
LOS ANGELES, CA 90012
Los Angeles County (213) 617-0136
IVY O. LI D.D.S. INC.
Dentist (General Practice)
420 ORD ST, SUITE #102
LOS ANGELES, CA 90012
Los Angeles County (213) 617-0136
DR. IVY OI-WAN LI D.D.S.
Dentist (General Practice)
420 ORD ST, SUITE #102
LOS ANGELES, CA 90012
Los Angeles County (213) 617-0136

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 Bernard Koo's NPI number?

The NPI number for Bernard Koo is 1699803049. It was assigned to this individual provider in the NPPES registry on February 28, 2007.

Where is Bernard Koo located?

Bernard Koo practices at 420 Ord St Suite 102-A, Los Angeles, CA 90012. The listed phone number is (213) 617-0136.

What is Bernard Koo's specialty?

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

Is Bernard Koo enrolled in Medicare?

Yes. Bernard Koo is registered in the Medicare PECOS enrollment system.

What insurance does Bernard Koo 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 Bernard Koo 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 Bernard Koo 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.