TINA TALESH
NPI 1922505874
Dentist - Orthodontics and Dentofacial Orthopedics in Los Angeles, CA

Active since April 08, 2018PECOS Enrolled
1609 WESTWOOD BLVD, LOS ANGELES, CA 90024(310) 998-7600 Get Directions Write a Review

NPPES record last updated: January 1, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 25, 2021, Nov 11, 2019, Jun 13, 2019 (3 updates tracked since 2019).

About Tina Talesh NPPES

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

TINA TALESH (NPI 1922505874) is an individual orthodontics and dentofacial orthopedics provider in Los Angeles, California, licensed in California (DDS105062) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Phoenix.

NPPES Registry Identity

NPI1922505874
Entity TypeIndividualFemale
Primary Taxonomy1223X0400X
Provider Legal NameTINA TALESH
Location Address1609 WESTWOOD BLVDLos Angeles, CA 90024-5603
Mailing Address4409 Saugus Ave Apt 104Sherman Oaks, CA 91403-4066 · (310) 280-6087
Sole ProprietorYes
Enumeration DateApril 8, 2018
Last NPPES UpdateJanuary 1, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 1, 2023
✔ NPI 1922505874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License✔ Licensed in CA · DDS105062
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
Also ListedDentistTaxonomy 122300000X · License 34964 (TX), D010939 (AZ)
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 34964 (TX)
1609 WESTWOOD BLVD, Los Angeles, CA 90024

Secondary Practice Location 1

Location 19242 N 7th StPhoenix, AZ 85020-2502 · Phone (602) 943-7297

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)

Tina Talesh 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 90024 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.

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 Tina Talesh's NPI number?

The NPI number for Tina Talesh is 1922505874. It was assigned to this individual provider in the NPPES registry on April 8, 2018.

Where is Tina Talesh located?

Tina Talesh practices at 1609 Westwood Blvd, Los Angeles, CA 90024. The listed phone number is (310) 998-7600.

What is Tina Talesh's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

Is Tina Talesh enrolled in Medicare?

Yes. Tina Talesh is registered in the Medicare PECOS enrollment system.

What insurance does Tina Talesh 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 Tina Talesh 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 Tina Talesh was last updated on January 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.