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Ali-Reza Etemadieh

NPI 1598019739ActiveIndividual· Dentist· Orange, CA

Dentist in Orange, California, licensed in CA, with an NPI issued in November 2012. 25 Medicare patients in 2024, $118,601 paid; nearly all of their 261 Part D prescriptions were generic (97%).

Overview

NPI1598019739
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedNov 8, 2012
Last updated in NPPESApr 22, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000X61311CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

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

Medicare

Enrollment (PECOS)Enrolled Practitioner - Oral Surgery (CA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients25
Services billed151 across 11 procedure codes
Paid by Medicare$118,601

Part D prescriptions in 2024

Prescriptions (claims)261 · 261 30-day fills
Patients93
Total drug cost$1,497
Generic share97% of claims

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

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

Other Dentist providers in Orange

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