MRS. ROYA NEMATOLLAHI D.D.S.
NPI 1780863266
Dentist - Oral and Maxillofacial Surgery in Tustin, CA

Active since October 31, 2007PECOS Enrolled
14122 RED HILL AVE, TUSTIN, CA 92780(714) 544-8338(714) 573-1062 Get Directions Write a Review

NPPES record last updated: June 14, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Roya Nematollahi D.d.s. NPPES

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

MRS. ROYA NEMATOLLAHI D.D.S. (NPI 1780863266) is an individual oral and maxillofacial surgery provider in Tustin, California, licensed in California (54181) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780863266
Entity TypeIndividualFemale
Primary Taxonomy1223S0112X
Provider Legal NameMRS. ROYA NEMATOLLAHICredential: D.D.S.
Location Address14122 RED HILL AVETustin, CA 92780
Mailing Address14122 Red Hill AveTustin, CA 92780-5834 · (714) 544-8338 · Fax (714) 573-1062
Fax(714) 573-1062
Sole ProprietorNo
Enumeration DateOctober 31, 2007
Last NPPES UpdateJune 14, 2018
NPI 1780863266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in CA · 54181
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.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 54181 (CA)
14122 RED HILL AVE, Tustin, CA 92780

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)

Mrs. Roya Nematollahi 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 92780 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

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

Dentist (General Practice)
14122 RED HILL AVE
TUSTIN, CA 92780

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 Roya Nematollahi's NPI number?

The NPI number for Roya Nematollahi is 1780863266. It was assigned to this individual provider in the NPPES registry on October 31, 2007.

Where is Roya Nematollahi located?

Roya Nematollahi practices at 14122 Red Hill Ave, Tustin, CA 92780. The listed phone number is (714) 544-8338.

What is Roya Nematollahi's specialty?

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

Is Roya Nematollahi enrolled in Medicare?

Yes. Roya Nematollahi is registered in the Medicare PECOS enrollment system.

What insurance does Roya Nematollahi accept?

Health plans from Anthem Blue Cross and Blue Shield list Roya Nematollahi 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 Roya Nematollahi was last updated on June 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.