VIVEK SHETTY DDS, DR.MED.DENT.
NPI 1851417737
Oral & Maxillofacial Surgery in Los Angeles, CA

Active since March 22, 2007PECOS EnrolledAccepts Medicare Assignment
10833 LE CONTE AVE, SUITE AO-156, LOS ANGELES, CA 90095(310) 825-0834 Get Directions Write a Review

NPPES record last updated: January 20, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vivek Shetty Dds, Dr.med.dent. NPPES

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

VIVEK SHETTY DDS, DR.MED.DENT. (NPI 1851417737) is an individual oral & maxillofacial surgery provider in Los Angeles, California, licensed in California (41040) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1851417737
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameVIVEK SHETTYCredential: DDS, DR.MED.DENT.
Location Address10833 LE CONTE AVE, SUITE AO-156Los Angeles, CA 90095-1668
Mailing Address5767 W Century Blvd, Suite 400Los Angeles, CA 90045-5631 · (310) 825-0834
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateMarch 22, 2007
Last NPPES UpdateJanuary 20, 2015
NPI 1851417737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License Licensed in CA · 41040
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
10833 LE CONTE AVE, Los Angeles, CA 90095

Other Identifiers 1

Medicare PINFI575ZCA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Vivek Shetty Dds, Dr.med.dent. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638349269
PECOS Enrollment IDI20110908002064
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.

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Infectious Disease)
10833 LE CONTE AVE, CHS 37-121
LOS ANGELES, CA 90095
Pathology (Anatomic Pathology & Clinical Pathology)
10833 LE CONTE AVE, STE B-186 CHS
LOS ANGELES, CA 90095
Pathology (Anatomic Pathology)
10833 LE CONTE AVE, STE B-186 CHS
LOS ANGELES, CA 90095
Radiology (Diagnostic Radiology)
10833 LE CONTE AVE
LOS ANGELES, CA 90095
Radiology (Diagnostic Radiology)
10833 LE CONTE AVE
LOS ANGELES, CA 90095
Anesthesiology
10833 LE CONTE AVE
LOS ANGELES, CA 90095
Radiology (Diagnostic Radiology)
10833 LE CONTE AVE, DEPARTMENT OF RADIOLOGY
LOS ANGELES, CA 90095
Internal Medicine
10833 LE CONTE AVE
LOS ANGELES, CA 90095

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 Vivek Shetty's NPI number?

The NPI number for Vivek Shetty is 1851417737. It was assigned to this individual provider in the NPPES registry on March 22, 2007.

Where is Vivek Shetty located?

Vivek Shetty practices at 10833 Le Conte Ave Suite Ao-156, Los Angeles, CA 90095. The listed phone number is (310) 825-0834.

What is Vivek Shetty's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Vivek Shetty enrolled in Medicare?

Yes. Vivek Shetty is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Vivek Shetty was last updated on January 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.