DR. MARLICE ARCANGEL PATAM D.D.S., M.D.
NPI 1730203712
Dentist - Oral and Maxillofacial Surgery in South Pasadena, CA

Q: What is Marlice Patam's NPI number?

The NPI number for Marlice Patam is 1730203712. It was assigned to this individual provider in the NPPES registry on March 16, 2007.

Q: What is Marlice Patam's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Marlice Patam was last updated on September 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 March 16, 2007PECOS Enrolled

1115 MONTROSE AVE, SOUTH PASADENA, CA 91030(626) 394-4946(626) 296-2779 Get Directions Write a Review

NPPES record last updated: September 23, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Marlice Arcangel Patam D.d.s., M.d. NPPES

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

DR. MARLICE ARCANGEL PATAM D.D.S., M.D. (NPI 1730203712) is an individual oral and maxillofacial surgery provider in South Pasadena, California, licensed in California (42757) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730203712

Entity TypeIndividualFemale

Primary Taxonomy1223S0112X

Provider Legal NameDR. MARLICE ARCANGEL PATAMCredential: D.D.S., M.D.

Location Address1115 MONTROSE AVESouth Pasadena, CA 91030-3435

Mailing Address1115 Montrose AveSouth Pasadena, CA 91030-3435 · (626) 394-4946 · Fax (626) 296-2779

Phone(626) 394-4946

Fax(626) 296-2779

Sole ProprietorYes

Enumeration DateMarch 16, 2007

Last NPPES UpdateSeptember 23, 2010

✔ NPI 1730203712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in CA · 42757

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

1115 MONTROSE AVE, South Pasadena, CA 91030

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana 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)

Dr. Marlice Arcangel Patam D.d.s., M.d. 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 91030 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.

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 Marlice Patam's NPI number?

The NPI number for Marlice Patam is 1730203712. It was assigned to this individual provider in the NPPES registry on March 16, 2007.

Where is Marlice Patam located?

Marlice Patam practices at 1115 Montrose Ave, South Pasadena, CA 91030. The listed phone number is (626) 394-4946.

What is Marlice Patam's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Marlice Patam enrolled in Medicare?

Yes. Marlice Patam is registered in the Medicare PECOS enrollment system.

What insurance does Marlice Patam accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Marlice Patam 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 Marlice Patam was last updated on September 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.