ANETTE PAULINA VISTOSO MONREAL
NPI 1982387403
Dentist - Orofacial Pain in Los Angeles, CA

Q: What is Anette Vistoso Monreal's NPI number?

The NPI number for Anette Vistoso Monreal is 1982387403. It was assigned to this individual provider in the NPPES registry on August 10, 2023.

Q: What is Anette Vistoso Monreal's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orofacial Pain, with taxonomy code 1223X2210X.

Active since August 10, 2023PECOS Enrolled

925 W 34TH ST, LOS ANGELES, CA 90089(213) 821-0148 Get Directions Write a Review

NPPES record last updated: August 10, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Anette Paulina Vistoso Monreal NPPES

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

ANETTE PAULINA VISTOSO MONREAL (NPI 1982387403) is an individual orofacial pain provider in Los Angeles, California, licensed in California (SP308) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1982387403

Entity TypeIndividualFemale

Primary Taxonomy1223X2210X

Provider Legal NameANETTE PAULINA VISTOSO MONREAL

Location Address925 W 34TH STLos Angeles, CA 90089-0058

Mailing Address160 Corson St Apt 428Pasadena, CA 91103-3864 · (626) 423-2925

Phone(213) 821-0148

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateAugust 10, 2023

NPPES CertifiedAugust 10, 2023

✔ NPI 1982387403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Orofacial PainDental Providers

Taxonomy Code1223X2210X

License✔ Licensed in CA · SP308

Definition

A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.

925 W 34TH ST, Los Angeles, CA 90089

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anette Paulina Vistoso Monreal is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7214372093

PECOS Enrollment IDI20240302000594

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.

Medicare Billing Reassignment

Medicare enrollment records show Anette Vistoso Monreal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Southern California

Same address

General Practice

925 W 34TH ST, ROOM #151
Los Angeles, CA 90089

Reassigned Medicare billing, California enrollment
4 clinicians in this Medicare group

NPI 1821168113 (213) 740-7405

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

49 services33 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

31 services31 patients

X-ray of lower jaws, upper jaws and teeth 70355

An X-ray of lower jaws, upper jaws, and teeth is a diagnostic procedure that uses radiation to create images of these areas. This helps in identifying issues like tooth decay, gum problems, or jawbone irregularities. It's a quick, painless process and crucial for maintaining oral health.

18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90089 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.

IRENE L CHING DDS

Dentist (Pediatric Dentistry)