Individual provider Active NPI

Benjamin Louis Palla, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Santa Monica, CA
National Provider Identifier
1679073134
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DDS109926 Issued in CA
Practice address
1301 20TH St Ste 400
Santa Monica, CA 90404-2090
Phone
(310) 453-5330
Fax
(310) 453-5326
NPI assigned
Feb 20, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DDS109926 CA Primary

Addresses

Primary practice location

1301 20TH St Ste 400
Santa Monica, CA 90404-2090

Mailing address

1301 20TH St Ste 400
Santa Monica, CA 90404-2090
Phone (310) 453-5330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Mar 20, 2026 through Mar 20, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DDS109926CAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson and Palla Dental Partnership Oral and Maxillofacial Surgery Current Accepting new patients

Locations

1301 20th St
Ste 400
Santa Monica, CA 90404
Phone (310) 453-5330

Interoperability endpoints

  • Direct secure messaging: bpalla18120@uihealth.direct-ci.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1679073134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 20TH ST STE 400",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042090",
            "telephone_number": "310-453-5330",
            "fax_number": "310-453-5326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 20TH ST STE 400",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042090",
            "telephone_number": "310-453-5330",
            "fax_number": "310-453-5326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALLA",
        "first_name": "BENJAMIN",
        "middle_name": "LOUIS",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-20",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "DDS109926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.