SANDY LOPEZ AVILA DDS
NPI 1720701287
Dentist in Loma Linda, CA

Q: What is Sandy Lopez Avila's NPI number?

The NPI number for Sandy Lopez Avila is 1720701287. It was assigned to this individual provider in the NPPES registry on September 20, 2022.

Q: What is Sandy Lopez Avila's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sandy Lopez Avila was last updated on September 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since September 20, 2022PECOS Enrolled

11695 WELEBIR ST, LOMA LINDA, CA 92354(602) 396-9657 Get Directions Write a Review

NPPES record last updated: September 20, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Sandy Lopez Avila Dds NPPES

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

SANDY LOPEZ AVILA DDS (NPI 1720701287) is an individual dentist in Loma Linda, California, licensed in California (107979) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720701287

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameSANDY LOPEZ AVILACredential: DDS

Location Address11695 WELEBIR STLoma Linda, CA 92354-3652

Mailing Address11695 Welebir StLoma Linda, CA 92354-3652 · (602) 396-9657

Phone(602) 396-9657

Sole ProprietorYes

Enumeration DateSeptember 20, 2022

NPPES CertifiedSeptember 20, 2022

✔ NPI 1720701287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 107979

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.

11695 WELEBIR ST, Loma Linda, CA 92354

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan 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)

Sandy Lopez Avila 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 92354 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

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.

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 Sandy Lopez Avila's NPI number?

The NPI number for Sandy Lopez Avila is 1720701287. It was assigned to this individual provider in the NPPES registry on September 20, 2022.

Where is Sandy Lopez Avila located?

Sandy Lopez Avila practices at 11695 Welebir St, Loma Linda, CA 92354. The listed phone number is (602) 396-9657.

What is Sandy Lopez Avila's specialty?

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

Is Sandy Lopez Avila enrolled in Medicare?

Yes. Sandy Lopez Avila is registered in the Medicare PECOS enrollment system.

What insurance does Sandy Lopez Avila accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 6 other insurers list Sandy Lopez Avila 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 Sandy Lopez Avila was last updated on September 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.