LIDYA SORAYA ACEVEDO
NPI 1881873552
Dentist - General Practice in Inglewood, CA

Active since October 30, 2007PECOS Enrolled
11976 AVIATION BLVD, INGLEWOOD, CA 90304(310) 643-6221 Get Directions Write a Review

NPPES record last updated: October 30, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lidya Soraya Acevedo NPPES

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

LIDYA SORAYA ACEVEDO (NPI 1881873552) is an individual general practice provider in Inglewood, California, licensed in California (55423) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881873552
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameLIDYA SORAYA ACEVEDO
Location Address11976 AVIATION BLVDInglewood, CA 90304-1001
Mailing Address257 S Reeves Dr, PhBeverly Hills, CA 90212-4046 · (786) 290-3652
Sole ProprietorNo
Enumeration DateOctober 30, 2007
NPI 1881873552 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 · 55423
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.

11976 AVIATION BLVD, Inglewood, CA 90304

Accepted 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)

Lidya Soraya Acevedo 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 90304 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 2

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

Dentist
11976 AVIATION BLVD
INGLEWOOD, CA 90304
Dentist
11976 AVIATION BLVD
INGLEWOOD, CA 90304

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 Lidya Acevedo's NPI number?

The NPI number for Lidya Acevedo is 1881873552. It was assigned to this individual provider in the NPPES registry on October 30, 2007.

Where is Lidya Acevedo located?

Lidya Acevedo practices at 11976 Aviation Blvd, Inglewood, CA 90304. The listed phone number is (310) 643-6221.

What is Lidya Acevedo's specialty?

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

Is Lidya Acevedo enrolled in Medicare?

Yes. Lidya Acevedo is registered in the Medicare PECOS enrollment system.

What insurance does Lidya Acevedo accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Lidya Acevedo 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 Lidya Acevedo was last updated on October 30, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.