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DR. ANASTASIA ADEL BOUTROS DMD
NPI 1962124495
Dentist - General Practice in Lakewood, CA

Active since September 12, 2022PECOS Enrolled
4443 CANDLEWOOD ST, LAKEWOOD, CA 90712(562) 634-5042 Get Directions Write a Review

NPPES record last updated: September 12, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Anastasia Adel Boutros Dmd NPPES

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

DR. ANASTASIA ADEL BOUTROS DMD (NPI 1962124495) is an individual general practice provider in Lakewood, California, licensed in California (108014) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962124495
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ANASTASIA ADEL BOUTROSCredential: DMD
Location Address4443 CANDLEWOOD STLakewood, CA 90712-1736
Mailing Address6641 Silent Harbor DrHuntington Beach, CA 92648-2643 · (714) 926-6249
Phone(562) 634-5042
Sole ProprietorNo
Enumeration DateSeptember 12, 2022
NPPES CertifiedSeptember 12, 2022
✔ NPI 1962124495 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 · 108014
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.
4443 CANDLEWOOD ST, Lakewood, CA 90712
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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 Alabama 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. Anastasia Adel Boutros Dmd 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 90712 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 8

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

DR. CATHERINE NGUYEN DDS
Dentist (General Practice)
4443 CANDLEWOOD ST
LAKEWOOD, CA 90712
Los Angeles County (562) 634-5042
FRANK DUONG
Dentist
4443 CANDLEWOOD ST
LAKEWOOD, CA 90712
Los Angeles County (562) 634-5042
JASON SONG DDS
Dentist
4443 CANDLEWOOD ST
LAKEWOOD, CA 90712
Los Angeles County (562) 634-5042
DR. SIENELLA THOMASZADEH DDS
Dentist
4443 CANDLEWOOD ST
LAKEWOOD, CA 90712
Los Angeles County (562) 634-5042
DR. ERIC MATSUNO DDS
Dentist (General Practice)
4443 CANDLEWOOD ST
LAKEWOOD, CA 90712
Los Angeles County (562) 634-5042
DR. ARIELLA H. PESSAH D.D.S.
Dentist (General Practice)
4443 CANDLEWOOD ST
LAKEWOOD, CA 90712
Los Angeles County (310) 686-1120
DR. OMAR HASSOUNA DDS
Dentist
4443 CANDLEWOOD ST
LAKEWOOD, CA 90712
Los Angeles County (562) 634-5042
BACH NGUYEN DENTAL CORPORATION
Dentist (General Practice)
4443 CANDLEWOOD ST
LAKEWOOD, CA 90712
Los Angeles County (562) 634-5042

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 Anastasia Boutros's NPI number?

The NPI number for Anastasia Boutros is 1962124495. It was assigned to this individual provider in the NPPES registry on September 12, 2022.

Where is Anastasia Boutros located?

Anastasia Boutros practices at 4443 Candlewood St, Lakewood, CA 90712. The listed phone number is (562) 634-5042.

What is Anastasia Boutros's specialty?

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

Is Anastasia Boutros enrolled in Medicare?

Yes. Anastasia Boutros is registered in the Medicare PECOS enrollment system.

What insurance does Anastasia Boutros accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Anastasia Boutros 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 Anastasia Boutros was last updated on September 12, 2022. 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.