Individual provider Active NPI

Wayne Hideo Ozaki, MD, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Los Angeles, CA
National Provider Identifier
1710019781
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
36187 Issued in CA
Practice address
10833 Le Conte Ave. RM A0-156C CHS
Los Angeles, CA 90095
Phone
(310) 825-0834
Fax
(310) 794-2198
NPI assigned
Mar 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 36187 CA
Plastic Surgery Physician 208200000X G84481 CA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 36187 CA Primary

Addresses

Primary practice location

10833 Le Conte Ave. RM A0-156C CHS
Los Angeles, CA 90095

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other practice location 1

911 Hampshire Rd
Suite 4
Westlake Village, CA 91361-2818
Phone (805) 495-7416

Other identifiers 1

IdentifierTypeStateIssuer
36187OtherCADENTAL LIC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address OMS@dentistry.ucla.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110330000816 CA Practitioner - Plastic and Reconstructive SurgeryPractitioner - Oral SurgeryPractitioner - Maxillofacial Surgery 1052340676 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Maxillofacial Surgery, Oral Surgery
Education
University of Pittsburgh School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Regents of the University of CaliforniaGroup PAC ID 2264422070, 17 clinicians

Practice addresses (Care Compare)

100 UCLA Medical PLZ
Suite 460
Los Angeles, CA 90024-7000
Phone (310) 443-8999

10833 Le Conte Ave
Los Angeles, CA 90095-3075

200 UCLA Medical PLZ
Los Angeles, CA 90095-8344

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.08 of 100Reported as group
Quality
64.86
Promoting interoperability
100
Improvement activities
40
Cost
46.83

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36187CAMDChiropractor
G84481CAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
UC Regents CurrentSince May 6, 2016 Accepting new patients
Regents of the University of California CurrentSince Jan 1, 2025 Accepting new patients
Regents of the University of California Oral & Maxillofacial Surgery Current Accepting new patients
The Regents of the University of California Oral and Maxillofacial Surgery CurrentSince Jun 1, 2021 Accepting new patients
Regents of the University of California CurrentSince Jan 1, 2025 Accepting new patients
UCLA Medical Group Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients

Locations

5201 Truxtun Ave
Bakersfield, CA 93309
Phone (661) 328-5565

200 UCLA Medical Plz
Ste 460
Los Angeles, CA 90095
Phone (310) 825-5510

100 UCLA Medical Plz
Ste 460
Los Angeles, CA 90024
Phone (310) 443-8999

10833 Le Conte Ave
Rm A156C
Los Angeles, CA 90095
Phone (310) 825-0834

200 UCLA Medical Plz
Ste 265
Los Angeles, CA 90095
Phone (310) 206-2429

File 2939
Los Angeles, CA 90074
Phone (310) 794-6596

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

200 UCLA Medical Plz
Ste 465
Los Angeles, CA 90095
Phone (310) 825-5510

10833 Le Conte Ave
#12311
Los Angeles, CA 90095
Phone (310) 825-9124

10833 Le Conte Ave
Rm Ao
Los Angeles, CA 90095
Phone (310) 825-0834

2655 1st St
Ste 300
Simi Valley, CA 93065
Phone (805) 578-8550

14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303

Interoperability endpoints

  • Direct secure messaging: oms@dentistry.ucla.edu
  • Direct secure messaging: wozaki287160@direct.uclahealth.org

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1710019781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10833 LE CONTE AVE. RM A0-156C CHS",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90095",
            "telephone_number": "310-825-0834",
            "fax_number": "310-794-2198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "911 Hampshire Rd",
            "address_2": "Suite 4",
            "address_purpose": "LOCATION",
            "city": "Westlake Village",
            "state": "CA",
            "postal_code": "913612818",
            "country_code": "US",
            "telephone_number": "805-495-7416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OZAKI",
        "first_name": "WAYNE",
        "middle_name": "HIDEO",
        "name_prefix": "Dr.",
        "credential": "MD, DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CA",
            "license": "36187",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G84481",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "36187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LIC",
            "identifier": "36187",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "OMS@dentistry.ucla.edu",
            "affiliation": "N",
            "address_1": "10833 Le Conte Ave. RM A0-156C CHS",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "90095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.