LALA GRIGORI (DMD) – Oral and Maxillofacial Surgery (Dentist), NPI 1659959583

LALA GRIGORI (DMD) is a healthcare provider. based in Fresno, California. specializing in ORAL SURGERY. They hold the professional credentials DMD. They hold a License No. 108007 (CA). The NPI Number for LALA GRIGORI (DMD) is 1659959583

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
LALA GRIGORI (DMD)
NPI
1659959583
Phone
(559) 459-4182
Address
155 N FRESNO ST
Enumeration Date
31 March 2021
Last Update Date
17 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5592262722
Graduation Year
2021 (5 years ago)
PAC ID
7315440013
Group Practice PAC ID
4981789377
Professional Enrollment ID
I20250910001304
Address ID
CA937203862FR1903XAVEX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Digital endpointsOther names

141 ORAL SURGERY in CA

Provider Addresses for LALA GRIGORI (DMD)

  • 155 N FRESNO ST

    FRESNO, CA 937012302

    Phone: (559) 459-4182

    Type: Mailing

  • 1903 E FIR AVE STE 101

    FRESNO, CA 937203862

    Phone: (559) 226-2722

    Fax: (559) 226-6989

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-09-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250910001304IOral SurgeryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 93701)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4981789377View full group profile

Reviews

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Frequently asked questions

Is there an official ID for LALA GRIGORI (DMD) in U.S. healthcare records?
The official identifier for LALA GRIGORI (DMD) is NPI 1659959583.
Active or inactive — what applies to LALA GRIGORI (DMD)?
You should see LALA GRIGORI (DMD) as active in CMS-hosted NPPES data.
What expertise is attributed to LALA GRIGORI (DMD)?
LALA GRIGORI (DMD)'s specialty line reads Oral and Maxillofacial Surgery (Dentist). Clinical services aligned with this taxonomy classification.
Is LALA GRIGORI (DMD) located near Fresno?
LALA GRIGORI (DMD) currently maps to Fresno, California in this extract.
Does LALA GRIGORI (DMD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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