RAISA AVEZOVA DMD
NPI 1760868111
Dentist - General Practice in Los Angeles, CA
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
Specialties & Licenses
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).
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.
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.
LOS ANGELES, CA 90012
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 Raisa Avezova's NPI number?
The NPI number for Raisa Avezova is 1760868111. It was assigned to this individual provider in the NPPES registry on August 8, 2015.
Where is Raisa Avezova located?
Raisa Avezova practices at 767 N Hill St, Los Angeles, CA 90012. The listed phone number is (213) 808-1700.
What is Raisa Avezova's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Raisa Avezova enrolled in Medicare?
Yes. Raisa Avezova is registered in the Medicare PECOS enrollment system.
What insurance does Raisa Avezova accept?
Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Raisa Avezova 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 Raisa Avezova was last updated on October 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Raisa Avezova, DMD · NPI 1760868111
General Practice provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since August 8, 2015.
## Identity
- **NPI:** 1760868111 (Entity type: Individual)
- **Enumerated:** August 8, 2015
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 64939 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 767 N HILL ST, Los Angeles, CA 90012-2343
- **Phone:** (213) 808-1700
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** October 24, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1760868111) · Data from the CMS NPPES public registry.