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

Q: 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.

Q: 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.

Q: 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.

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: October 18, 2026.

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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

Phone(714) 544-8338

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

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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, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Roya Nematollahi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Roya Nematollahi D.D.S. Inc

Same address

General Practice

14122 RED HILL AVE
Tustin, CA 92780

Reassigned Medicare billing, California enrollment
Medicare enrollment name: Roya Nematollahi DDS Inc

NPI 1326462730 (714) 544-8338

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

ROYA NEMATOLLAHI D.D.S. INC

Dentist (General Practice)

14122 RED HILL AVE
TUSTIN, CA 92780

Orange County (714) 544-8338

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.

Which organization bills Medicare for Roya Nematollahi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roya Nematollahi reassigns Medicare benefits to Roya Nematollahi D.D.S. Inc (Tustin, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Roya Nematollahi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Roya Nematollahi accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas 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.