RAISA AVEZOVA DMD
NPI 1760868111
Dentist - General Practice in Los Angeles, CA

Active since August 08, 2015PECOS Enrolled
767 N HILL ST, LOS ANGELES, CA 90012(213) 808-1700 Get Directions Write a Review

NPPES record last updated: October 24, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 24, 2016, May 18, 2016 (2 updates tracked since 2016).

About Raisa Avezova Dmd NPPES

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

RAISA AVEZOVA DMD (NPI 1760868111) is an individual general practice provider in Los Angeles, California, licensed in California (64939) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760868111
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameRAISA AVEZOVACredential: DMD
Location Address767 N HILL STLos Angeles, CA 90012-2343
Mailing Address767 N Hill StLos Angeles, CA 90012-2343
Sole ProprietorNo
Enumeration DateAugust 8, 2015
Last NPPES UpdateOctober 24, 20162 updates tracked since enumeration
NPI 1760868111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 64939
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

767 N HILL ST, Los Angeles, CA 90012

Accepted 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)

Raisa Avezova Dmd 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 90012 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 12

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

Dentist (General Practice)
767 N HILL ST, SUITE 200
LOS ANGELES, CA 90012
Hospice Care, Community Based
767 N HILL ST, SUITE302
LOS ANGELES, CA 90012
Case Manager/Care Coordinator
767 N HILL ST, SUITE 400B
LOS ANGELES, CA 90012
Case Management
767 N HILL ST, SUITE 400
LOS ANGELES, CA 90012
Nurse Practitioner (Family)
767 N HILL ST
LOS ANGELES, CA 90012
Dietitian, Registered
767 N HILL ST
LOS ANGELES, CA 90012
Community/Behavioral Health
767 N HILL ST, SUITE 400B
LOS ANGELES, CA 90012
Marriage & Family Therapist
767 N HILL ST
LOS ANGELES, CA 90012

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760868111, enumerated as an "individual" on August 08, 2015.

The provider is located at 767 N HILL ST LOS ANGELES, CA 90012 and the phone number is (213) 808-1700.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Blue Cross. Please consult your insurance carrier or call the provider to verify.