1. Home
  2. Directory
  3. California
  4. South Gate
  5. Dentist
  6. NPI Profile

DR. JAY LUTSKY DMD
NPI 1801942172
Dentist - General Practice in South Gate, CA

Active since January 26, 2007PECOS Enrolled
4444 TWEEDY BLVD, SOUTH GATE, CA 90280(323) 564-2444(323) 249-7565 Get Directions Write a Review

NPPES record last updated: January 6, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jay Lutsky Dmd NPPES

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

DR. JAY LUTSKY DMD (NPI 1801942172) is an individual general practice provider in South Gate, California, licensed in California (31659) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801942172
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JAY LUTSKYCredential: DMD
Location Address4444 TWEEDY BLVDSouth Gate, CA 90280-6304
Mailing Address7907 Glider AveLos Angeles, CA 90045-3049 · Fax (323) 249-7565
Phone(323) 564-2444
Fax(323) 249-7565
Sole ProprietorNo
Enumeration DateJanuary 26, 2007
Last NPPES UpdateJanuary 6, 2016
✔ NPI 1801942172 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 · 31659
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.
4444 TWEEDY BLVD, South Gate, CA 90280
Open in Google Maps ↗

Other Identifiers 1

MedicaidD31659CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.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. Jay Lutsky 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 90280 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 17

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

DR. SABINA WIEDERKEHR DDS
Dentist (General Practice)
4444 TWEEDY BLVD
SOUTH GATE, CA 90280
Los Angeles County (323) 564-2444
DR. ANDREW GEOFFREY WIDDIFIELD DMD
Dentist (General Practice)
4444 TWEEDY BLVD
SOUTH GATE, CA 90280
Los Angeles County (323) 564-2444
DR. IRINA MIHAELA TARNAVSKY DDS
Dentist (General Practice)
4444 TWEEDY BLVD
SOUTH GATE, CA 90280
Los Angeles County (323) 564-2444
DR. SIAVASH ZARGARPOUR DDS
Denturist
4444 TWEEDY BLVD
SOUTH GATE, CA 90280
Los Angeles County (323) 564-2444
DR. RANA RUSHDI KALEEL DDS
Dentist
4444 TWEEDY BLVD
SOUTH GATE, CA 90280
Los Angeles County (323) 564-2444
SCOTT JACKS DDS INC
Dentist
4444 TWEEDY BLVD
SOUTH GATE, CA 90280
Los Angeles County (323) 564-2444
DR. ELEANOR ANTOINETTE SIAZON DDS
Dentist (General Practice)
4444 TWEEDY BLVD
SOUTH GATE, CA 90280
Los Angeles County (323) 564-2444
DR. BENJAMIN PHILLIP SAPIR D.D.S.
Dentist (General Practice)
4444 TWEEDY BLVD
SOUTH GATE, CA 90280
Los Angeles County (323) 923-2182

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 Jay Lutsky's NPI number?

The NPI number for Jay Lutsky is 1801942172. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Where is Jay Lutsky located?

Jay Lutsky practices at 4444 Tweedy Blvd, South Gate, CA 90280. The listed phone number is (323) 564-2444.

What is Jay Lutsky's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jay Lutsky enrolled in Medicare?

Yes. Jay Lutsky is registered in the Medicare PECOS enrollment system.

What insurance does Jay Lutsky accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Jay Lutsky 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 Jay Lutsky was last updated on January 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.