Doctor profile · Federal record

Dr. Charise Untalan, DDS

General Practice Dentistry · Los Angeles, CA

  • NPI 1255496782
  • 20 yrs on file
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
730 S Western Ave Ste 202
Los Angeles, CA 900055901
(213) 385-3828
fax (213) 385-2144
Mailing address
5009 Alta Canyada RD
La Canada, CA 910111716

Credentials & registration

NPPES · NUCC
NPI registered
December 2006 — 20 yrs on file
Profile last updated
July 9, 2007
Specialty taxonomy
1223G0001X — NUCC code
State license (1)
California #49984
Medicaid
CA #G9241201

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1255496782. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$114
Transactions
4
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Colgate Oral Pharmaceuticals, INC. 4 $113.62

By nature of payment

Education
$114

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
11
Patients
0
Total drug cost
$61
Drug Type Claims Patients Total cost
Amoxicillin Generic 11 0 $61

Frequently asked questions

Auto-generated from federal data
What is Dr. Charise Untalan's medical specialty?
Dr. Charise Untalan practices General Practice Dentistry in Los Angeles, CA.
Where does Dr. Charise Untalan practice?
Dr. Charise Untalan practices at 730 S Western Ave Ste 202, Los Angeles, CA 900055901. Office phone: 2133853828.
What is Dr. Charise Untalan's NPI?
Dr. Charise Untalan's National Provider Identifier (NPI) is 1255496782, issued by NPPES.