Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Vivek Shetty, DDS, DRMEDDENT

Individual provider Oral & Maxillofacial Surgery (D.M.D.) · NPI 1851417737

Vivek Shetty, DDS, DRMEDDENT is a Maxillofacial Surgery in Los Angeles, California. Qualified in 1991, 35 years ago. Practices with Regents of the University of California, a 136-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
35
Licensed in
CA
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

10833 Le Conte Ave Ste AO-156
Los Angeles, CA 90095-1668
Phone: (310) 825-0834
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X · Licence 41040 (CA)

Record details

NPI number1851417737
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , DRMEDDENT
Sole proprietorNo
NPI enumeratedMarch 22, 2007
Last updated in NPPESJanuary 20, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMAXILLOFACIAL SURGERY
Also practisesORAL SURGERY
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Regents Of The University Of California — 136 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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