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IVY FUA DDS
NPI 1710410667
Dentist - Pediatric Dentistry in Los Angeles, CA

Active since April 07, 2017PECOS Enrolled
925 W 34TH ST, LOS ANGELES, CA 90089(213) 740-0412 Get Directions Write a Review

NPPES record last updated: April 7, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ivy Fua Dds NPPES

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

IVY FUA DDS (NPI 1710410667) is an individual pediatric dentistry provider in Los Angeles, California, licensed in California (00000) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710410667
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameIVY FUACredential: DDS
Location Address925 W 34TH STLos Angeles, CA 90089-0058
Mailing Address1360 S Figueroa StLos Angeles, CA 90015-2873
Phone(213) 740-0412
Sole ProprietorNo
Enumeration DateApril 7, 2017
✔ NPI 1710410667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in CA · 00000
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
925 W 34TH ST, Los Angeles, CA 90089
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ivy Fua 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 90089 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 20

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

IRENE L CHING DDS
Dentist (Pediatric Dentistry)
925 W 34TH ST
LOS ANGELES, CA 90089
Los Angeles County (415) 425-8202
DR. JASON JACOB SHADPOUR DDS
Dentist (General Practice)
925 W 34TH ST
LOS ANGELES, CA 90089
Los Angeles County (213) 740-2805
DR. CHING HSIU KETTY CHIU D.D.S.
Dentist (Periodontics)
925 W 34TH ST
LOS ANGELES, CA 90089
Los Angeles County (213) 740-1545
DR. THERESIA LAKSMANA DMD, MS
Dentist (Periodontics)
925 W 34TH ST
LOS ANGELES, CA 90089
Los Angeles County (213) 740-2805
DR. CHARLENE RUTH NAPOLITANO DDS
Dentist
925 W 34TH ST
LOS ANGELES, CA 90089
Los Angeles County (949) 274-3298
DR. THOMAS ALAN LEVY D.D.S.,MS
Dentist
925 W 34TH ST
LOS ANGELES, CA 90089
Los Angeles County (213) 740-1080
AVISHAI SADAN DMD
Dentist (Prosthodontics)
925 W 34TH ST, RM#151
LOS ANGELES, CA 90089
Los Angeles County (213) 740-7405
MARCELA HASBUN DDS, M.S
Dentist
925 W 34TH ST
LOS ANGELES, CA 90089
Los Angeles County (213) 740-2805

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 Ivy Fua's NPI number?

The NPI number for Ivy Fua is 1710410667. It was assigned to this individual provider in the NPPES registry on April 7, 2017.

Where is Ivy Fua located?

Ivy Fua practices at 925 W 34th St, Los Angeles, CA 90089. The listed phone number is (213) 740-0412.

What is Ivy Fua's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Ivy Fua enrolled in Medicare?

Yes. Ivy Fua is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ivy Fua was last updated on April 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.