1. Home
  2. Directory
  3. California
  4. Los Angeles
  5. Dentist
  6. NPI Profile

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: October 18, 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
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

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

Children's Hospital Los Angeles Medical Group, Inc.
5.1 mi
Multi-Specialty
4650 SUNSET BLVD
Los Angeles, CA 90027
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Childrens Hospital Los Angeles Medical Group Inc
  • 1,281 clinicians in this Medicare group
NPI 1265530653 (323) 361-2337

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 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. RILEY MCKAY DDS
Dentist (General Practice)
925 W 34TH ST
LOS ANGELES, CA 90089
Los Angeles County (425) 466-7612
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
DR. JOCELYN TEAH DDS
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.

Which organization bills Medicare for Ivy Fua's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ivy Fua reassigns Medicare benefits to Children's Hospital Los Angeles Medical Group, Inc. (Los Angeles, 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 Ivy Fua'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 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.