DR. SERGIO CUEVAS DDS
NPI 1720181290
Dentist in San Ysidro, CA

Active since September 07, 2006PECOS Enrolled
4004 BEYER BLVD, SAN YSIDRO, CA 92173(619) 428-4463(619) 428-2625 Get Directions Write a Review

NPPES record last updated: March 1, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Sergio Cuevas Dds NPPES

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

DR. SERGIO CUEVAS DDS (NPI 1720181290) is an individual dentist in San Ysidro, California, licensed in California (41007) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720181290
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. SERGIO CUEVASCredential: DDS
Location Address4004 BEYER BLVDSan Ysidro, CA 92173-2007
Mailing Address4004 Beyer BlvdSan Ysidro, CA 92173-2007 · (619) 428-4463 · Fax (619) 428-2625
Fax(619) 428-2625
Sole ProprietorNo
Enumeration DateSeptember 7, 2006
Last NPPES UpdateMarch 1, 2012
NPI 1720181290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in CA · 41007
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.

4004 BEYER BLVD, San Ysidro, CA 92173

Other Identifiers 2

OtherFHC18880FMedi-cal
Medicare ID-Type UnspecifiedW5740

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. Sergio Cuevas 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 92173 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

Pharmacist
4004 BEYER BLVD
SAN YSIDRO, CA 92173
Internal Medicine
4004 BEYER BLVD
SAN YSIDRO, CA 92173
Obstetrics & Gynecology
4004 BEYER BLVD
SAN YSIDRO, CA 92173
Midwife
4004 BEYER BLVD
SAN YSIDRO, CA 92173
Internal Medicine
4004 BEYER BLVD
SAN YSIDRO, CA 92173
Pediatrics
4004 BEYER BLVD
SAN YSIDRO, CA 92173
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4004 BEYER BLVD
SAN YSIDRO, CA 92173
Pediatrics
4004 BEYER BLVD
SAN YSIDRO, CA 92173

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720181290, enumerated as an "individual" on September 07, 2006.

The provider is located at 4004 BEYER BLVD SAN YSIDRO, CA 92173 and the phone number is (619) 428-4463.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: California Medicaid, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.