DR. ENRIQUE TAMAYO DDS
NPI 1811033699
Dentist - General Practice in Los Angeles, CA

Q: What is Enrique Tamayo's NPI number?

The NPI number for Enrique Tamayo is 1811033699. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Q: What is Enrique Tamayo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Enrique Tamayo was last updated on March 17, 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 January 29, 2007PECOS Enrolled

4400 S BROADWAY STE 103, LOS ANGELES, CA 90037(323) 233-9400(323) 233-9977 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 17, 2018, Jan 12, 2018 (2 updates tracked since 2018).

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About Dr. Enrique Tamayo Dds NPPES

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

DR. ENRIQUE TAMAYO DDS (NPI 1811033699) is an individual general practice provider in Los Angeles, California, licensed in California (52474) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811033699

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. ENRIQUE TAMAYOCredential: DDS

Location Address4400 S BROADWAY STE 103Los Angeles, CA 90037-2792

Mailing Address4400 S Broadway Ste 103Los Angeles, CA 90037-2792 · (323) 233-9400 · Fax (323) 233-9977

Phone(323) 233-9400

Fax(323) 233-9977

Sole ProprietorNo

Enumeration DateJanuary 29, 2007

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1811033699 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 · 52474

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.

4400 S BROADWAY STE 103, Los Angeles, CA 90037

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Other Identifiers 1

MedicaidD52474CA

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. Enrique Tamayo Dds 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 90037 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.

GEORGETTE ZOUEIN DENTAL CORP

Dentist (General Practice)

4400 S BROADWAY STE 103
LOS ANGELES, CA 90037

Los Angeles County (323) 233-9400

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 Enrique Tamayo's NPI number?

The NPI number for Enrique Tamayo is 1811033699. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Where is Enrique Tamayo located?

Enrique Tamayo practices at 4400 S Broadway Ste 103, Los Angeles, CA 90037. The listed phone number is (323) 233-9400.

What is Enrique Tamayo's specialty?

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

Is Enrique Tamayo enrolled in Medicare?

Yes. Enrique Tamayo is registered in the Medicare PECOS enrollment system.

What insurance does Enrique Tamayo 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 5 other insurers list Enrique Tamayo 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 Enrique Tamayo was last updated on March 17, 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.