MS. ANDREA TATIANA USTAREZ DDS
NPI 1881056992
Dentist - General Practice in Los Angeles, CA

Q: What is Andrea Ustarez's NPI number?

The NPI number for Andrea Ustarez is 1881056992. It was assigned to this individual provider in the NPPES registry on March 28, 2016.

Q: What is Andrea Ustarez'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 Andrea Ustarez was last updated on December 10, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 28, 2016PECOS Enrolled

3945 WHITTIER BLVD, LOS ANGELES, CA 90023(323) 307-0449 Get Directions Write a Review

NPPES record last updated: December 10, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 10, 2018, Oct 20, 2017, Sep 22, 2017 and 1 more (4 updates tracked since 2016).

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About Ms. Andrea Tatiana Ustarez Dds NPPES

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

MS. ANDREA TATIANA USTAREZ DDS (NPI 1881056992) is an individual general practice provider in Los Angeles, California, licensed in California (DDS101788) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881056992

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameMS. ANDREA TATIANA USTAREZCredential: DDS

Location Address3945 WHITTIER BLVDLos Angeles, CA 90023-2440

Mailing Address3945 Whittier BlvdLos Angeles, CA 90023-2440 · (323) 307-0449

Phone(323) 307-0449

Sole ProprietorNo

Enumeration DateMarch 28, 2016

Last NPPES UpdateDecember 10, 20184 updates tracked since enumeration

✔ NPI 1881056992 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 · DDS101788

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.

3945 WHITTIER BLVD, Los Angeles, CA 90023

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Andrea Tatiana Ustarez 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 90023 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 20

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

MIGUEL ANGEL ANDA PA-C

Physician Assistant