Payam Afzali, DDS, MD in Los Angeles, CA - Medicare Dentist Provider

Payam Afzali, DDS, MD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Los Angeles, California. His current practice location is 10833 Le Conte Ave # A0-156, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (310) 825-2072.

Payam Afzali is licensed to practice in California (license number 59055) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1326350851.

Contact Information

	Payam Afzali, DDS, MD
	10833 Le Conte Ave # A0-156, Los Angeles, CA 90095-6483
	(310) 825-2072
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Payam Afzali
Gender	Male
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	10833 Le Conte Ave # A0-156, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326350851
Provider Enumeration Date: 07/13/2010
Last Update Date: 01/06/2025

Medicare PECOS Information:

PECOS PAC ID: 3779877592
Enrollment ID: I20200706000622

Medical Identifiers

Medical identifiers for Payam Afzali such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326350851	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	59055 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Payam Afzali allows following entities to bill medicare on his behalf.

Entity Name	The Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689692303 PECOS PAC ID: 8820268063 Enrollment ID: O20110826000254

Entity Name	Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750723540 PECOS PAC ID: 0547490534 Enrollment ID: O20140314000181

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Payam Afzali is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Payam Afzali, DDS, MD 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: () -	Payam Afzali, DDS, MD 10833 Le Conte Ave # A0-156, Los Angeles, CA 90095-6483 Ph: (310) 825-2072

Reviews and Comments

Dentist in Los Angeles, CA

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Dr. Adrian Sanchez, Dentist Medicare: Not Enrolled in Medicare Practice Location: 6114 York Blvd, Suite C, Los Angeles, CA 90042 Phone: 323-255-6698
Dr. Bindu Vasudevan Pillai, DDS Dentist Medicare: Medicare Enrolled Practice Location: 5207 Whittier Blvd, Los Angeles, CA 90022 Phone: 323-269-0266

Payam Afzali, DDS, MD - Medicare Dentist in Los Angeles, CA