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DR. TOM KHIEM TU D.D.S.
NPI 1851725436
Dentist in Los Angeles, CA

Active since August 30, 2013PECOS Enrolled
5017 WHITTIER BLVD, LOS ANGELES, CA 90022(323) 268-9191 Get Directions Write a Review

NPPES record last updated: August 11, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Tom Khiem Tu D.d.s. NPPES

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

DR. TOM KHIEM TU D.D.S. (NPI 1851725436) is an individual dentist in Los Angeles, California, licensed in California (62777) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851725436
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. TOM KHIEM TUCredential: D.D.S.
Location Address5017 WHITTIER BLVDLos Angeles, CA 90022-3116
Mailing Address3050 S Bristol St, Unit 9fSanta Ana, CA 92704-6727 · (714) 300-4459
Phone(323) 268-9191
Sole ProprietorNo
Enumeration DateAugust 30, 2013
Last NPPES UpdateAugust 11, 2021
NPPES CertifiedAugust 11, 2021
✔ NPI 1851725436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 62777
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
5017 WHITTIER BLVD, Los Angeles, CA 90022
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Other Names 1

Former Name (1)Khiem Manh Tu

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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. Tom Khiem Tu 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 90022 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 3

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

VIA CARE COMMUNITY HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
5017 WHITTIER BLVD
LOS ANGELES, CA 90022
Los Angeles County (323) 268-9191
HILDA A MORENO HERNANDEZ
Dental Assistant
5017 WHITTIER BLVD
LOS ANGELES, CA 90022
Los Angeles County (323) 268-9191
DR. TAINO PARK DDS
Dentist
5017 WHITTIER BLVD
LOS ANGELES, CA 90022
Los Angeles County (323) 265-1505

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 Tom Tu's NPI number?

The NPI number for Tom Tu is 1851725436. It was assigned to this individual provider in the NPPES registry on August 30, 2013. The provider is also known as Khiem Manh Tu.

Where is Tom Tu located?

Tom Tu practices at 5017 Whittier Blvd, Los Angeles, CA 90022. The listed phone number is (323) 268-9191.

What is Tom Tu's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Tom Tu enrolled in Medicare?

Yes. Tom Tu is registered in the Medicare PECOS enrollment system.

What insurance does Tom Tu accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Renaissance Dental list Tom Tu 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 Tom Tu was last updated on August 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.