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DR. DYANA EIDELSTEIN DMD
NPI 1700448362
Dentist in Santa Monica, CA

Active since July 03, 2019PECOS Enrolled
2825 SANTA MONICA BLVD STE 310, SANTA MONICA, CA 90404(310) 828-0700 Get Directions Write a Review

NPPES record last updated: July 3, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Dyana Eidelstein Dmd NPPES

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

DR. DYANA EIDELSTEIN DMD (NPI 1700448362) is an individual dentist in Santa Monica, California, licensed in California (DDS103849) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700448362
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. DYANA EIDELSTEINCredential: DMD
Location Address2825 SANTA MONICA BLVD STE 310Santa Monica, CA 90404-2429
Mailing Address30702 Hilltop WaySan Juan Capistrano, CA 92675-2046 · (949) 813-6296
Phone(310) 828-0700
Sole ProprietorNo
Enumeration DateJuly 3, 2019
✔ NPI 1700448362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · DDS103849
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.
2825 SANTA MONICA BLVD STE 310, Santa Monica, CA 90404
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Dyana Eidelstein Dmd 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.

Medicare Billing Reassignment

Medicare enrollment records show Dyana Eidelstein reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

San Diego American Indian Health Center
117 mi
Addiction (Substance Use Disorder)
2630 1ST AVE
San Diego, CA 92103
  • Reassigned Medicare billing, California enrollment
  • 51 clinicians in this Medicare group
NPI 1003902917 (619) 234-2158

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 90404 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 5

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

JOHN PARK DDS
Dentist
2825 SANTA MONICA BLVD STE 310
SANTA MONICA, CA 90404
Los Angeles County (310) 828-0700
MONIKA KASPRZAK DMD
Dentist
2825 SANTA MONICA BLVD STE 310
SANTA MONICA, CA 90404
Los Angeles County (310) 828-0700
DR. JONATHAN OCHI DDS
Dentist (General Practice)
2825 SANTA MONICA BLVD STE 310
SANTA MONICA, CA 90404
Los Angeles County (310) 828-0700
DR. CAROLE FARAH DDS
Dentist
2825 SANTA MONICA BLVD STE 310
SANTA MONICA, CA 90404
Los Angeles County (310) 828-0700
FANG YU WANG DMD
Dentist
2825 SANTA MONICA BLVD STE 310
SANTA MONICA, CA 90404
Los Angeles County (310) 828-0700

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 Dyana Eidelstein's NPI number?

The NPI number for Dyana Eidelstein is 1700448362. It was assigned to this individual provider in the NPPES registry on July 3, 2019.

Where is Dyana Eidelstein located?

Dyana Eidelstein practices at 2825 Santa Monica Blvd Ste 310, Santa Monica, CA 90404. The listed phone number is (310) 828-0700.

What is Dyana Eidelstein's specialty?

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

Is Dyana Eidelstein enrolled in Medicare?

Yes. Dyana Eidelstein is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dyana Eidelstein's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dyana Eidelstein 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 Dyana Eidelstein'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 Dyana Eidelstein was last updated on July 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.