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ANTHONY OLATUNJI D.M.D
NPI 1932267390
Dentist - General Practice in Los Angeles, CA

Active since December 05, 2006PECOS Enrolled
11900 AVALON BLVD STE 101, LOS ANGELES, CA 90061(310) 331-8134(310) 747-5273 Get Directions Write a Review

NPPES record last updated: December 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Anthony Olatunji D.m.d NPPES

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

ANTHONY OLATUNJI D.M.D (NPI 1932267390) is an individual general practice provider in Los Angeles, California, licensed in California (109702) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Boston Univ Goldman School Of Dental Medicine (1998).

NPPES Registry Identity

NPI1932267390
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameANTHONY OLATUNJICredential: D.M.D
Location Address11900 AVALON BLVD STE 101Los Angeles, CA 90061-2867
Mailing Address1510 W Artesia Sq Apt CGardena, CA 90248-4768 · (781) 774-9885 · Fax (310) 747-5273
Phone(310) 331-8134
Fax(310) 747-5273
Sole ProprietorYes
Medical School CMSBoston Univ Goldman School Of Dental MedicineGraduated 1998
Enumeration DateDecember 5, 2006
Last NPPES UpdateDecember 23, 2025
NPPES CertifiedDecember 23, 2025
✔ NPI 1932267390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in CA · 109702✔ Licensed in MA · 19621
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.
11900 AVALON BLVD STE 101, Los Angeles, CA 90061
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana 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)

Anthony Olatunji D.m.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436562964
PECOS Enrollment IDI20251105000188
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 90061 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 5

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

MISTIE MAE TAYLOR
Technician/Technologist
11900 AVALON BLVD STE 101
LOS ANGELES, CA 90061
Los Angeles County (323) 920-4959
DR. ANTHONY OLATUNJI SMILES DMD INC
Dentist (General Practice)
11900 AVALON BLVD STE 101
LOS ANGELES, CA 90061
Los Angeles County (310) 331-8134
QUALITY CARE DIAGNOSTIC SERVICES LLC
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
11900 AVALON BLVD STE 101
LOS ANGELES, CA 90061
Los Angeles County (323) 880-8048
RICARDO LOPEZ
Technician
11900 AVALON BLVD STE 101
LOS ANGELES, CA 90061
Los Angeles County (323) 880-8048
JACK AZAD,M.D.,INC.
General Practice
11900 AVALON BLVD STE 101
LOS ANGELES, CA 90061
Los Angeles County (323) 756-1317

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 Anthony Olatunji's NPI number?

The NPI number for Anthony Olatunji is 1932267390. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Where is Anthony Olatunji located?

Anthony Olatunji practices at 11900 Avalon Blvd Ste 101, Los Angeles, CA 90061. The listed phone number is (310) 331-8134.

What is Anthony Olatunji's specialty?

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

Is Anthony Olatunji enrolled in Medicare?

Yes. Anthony Olatunji is registered in the Medicare PECOS enrollment system.

What insurance does Anthony Olatunji 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 6 other insurers list Anthony Olatunji 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 Anthony Olatunji was last updated on December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.