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John Louis Vicelja, D.D.S.

NPI 1083875694ActiveIndividual· Dentist, General Practice· Redondo Beach, CA

Opted out of Medicare from June 2015 to June 2027. Dentist, General Practice (D.D.S.) in Redondo Beach, California, licensed in CA, with an NPI issued in June 2008. Voco America Inc. reported $23.45 in payments in 2024, mostly food and beverage.

Overview

NPI1083875694
StatusActive
Entity typeIndividual
CredentialD.D.S.
Sole proprietorYes
NPI issuedJun 17, 2008
Last updated in NPPESJun 17, 2008

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X33396CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026
Opt-outOpted out Jun 17, 2015 – Jun 17, 2027
Can order and referYes

During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.

Medicare sources and data years

Industry payments (Open Payments)

  • 2024$23.45 · 1 payment from 1 company

Top paying companies in 2024

CompanyAmountPayments
Voco America Inc.$23.451

What the 2024 payments were for

  • Food and Beverage$23.45 · 1 payment

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other general dentists in Redondo Beach

All 52 general dentists in Redondo Beach · All general dentists in California