1. Home
  2. Directory
  3. California
  4. La Mirada
  5. Dentist
  6. NPI Profile

DR. MARY H. PATUWO D.D.S.
NPI 1760679716
Dentist in La Mirada, CA

Active since October 03, 2007PECOS Enrolled
14796 BEACH BLVD, LA MIRADA, CA 90638(714) 562-0402(714) 562-0248 Get Directions Write a Review

NPPES record last updated: October 3, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mary H. Patuwo D.d.s. NPPES

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

DR. MARY H. PATUWO D.D.S. (NPI 1760679716) is an individual dentist in La Mirada, California, licensed in California (B36411-01) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760679716
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. MARY H. PATUWOCredential: D.D.S.
Location Address14796 BEACH BLVDLa Mirada, CA 90638-4217
Mailing Address14796 Beach BlvdLa Mirada, CA 90638-4217 · (714) 562-0402 · Fax (714) 562-0248
Phone(714) 562-0402
Fax(714) 562-0248
Sole ProprietorNo
Enumeration DateOctober 3, 2007
✔ NPI 1760679716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · B36411-01
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.
14796 BEACH BLVD, La Mirada, CA 90638
Open in Google Maps ↗

Other Identifiers 1

Other1659423226Corp Npi

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.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. Mary H. Patuwo D.d.s. 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 90638 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 3

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

MARY H. PATUWO DDS, INC.
Dentist
14796 BEACH BLVD
LA MIRADA, CA 90638
Los Angeles County (714) 562-5402
DONG MIN JUNG RDH
Dental Hygienist
14796 BEACH BLVD
LA MIRADA, CA 90638
Los Angeles County (714) 266-0333
M JUNG AND MARY PATUWO DENTAL CORPORATION
Dentist (General Practice)
14796 BEACH BLVD
LA MIRADA, CA 90638
Los Angeles County (714) 266-0333

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 Mary Patuwo's NPI number?

The NPI number for Mary Patuwo is 1760679716. It was assigned to this individual provider in the NPPES registry on October 3, 2007.

Where is Mary Patuwo located?

Mary Patuwo practices at 14796 Beach Blvd, La Mirada, CA 90638. The listed phone number is (714) 562-0402.

What is Mary Patuwo's specialty?

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

Is Mary Patuwo enrolled in Medicare?

Yes. Mary Patuwo is registered in the Medicare PECOS enrollment system.

What insurance does Mary Patuwo accept?

Health plans from Humana list Mary Patuwo 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 Mary Patuwo was last updated on October 3, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.