Bernice Tan Ko
Endodontics · Venice, CA
Bernice Tan Ko is an endodontics with a practice address in Venice, California, and NPI 1417174467, issued on Apr 19, 2007. Check the license (California 40163, as entered in NPPES) with the California board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Bernice Tan Ko
- Primary taxonomy
- Endodontics 1223E0200X
- License number
- 40163 CA
Self-reported in NPPES; status is on the state search - Practice location
- 323 Lincoln Blvd, Venice, CA 90291
- Phone
- (310) 392-4103
- Enumerated
- Apr 19, 2007
- Record last updated
- Apr 28, 2022
- Entity
- Type 1 · individual
8 nearest endodontics records → All 1,018 in California → Look up another NPI →
Also registered at 323 Lincoln Blvd
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Aliza Amsellem, DDSDentist1265360184
- Mario Antonioni, D.D.S.Student in an Organized Health Care Education/Training Program1255894762
- Olivia Berman, DMD, MSDentist1740962281
- Carletta Demetree, DDSDentist1609527670
- Tanya KavoussiStudent in an Organized Health Care Education/Training Program1821625864
- Golara Khandan, DMDStudent in an Organized Health Care Education/Training Program1235827643
Verify Bernice Tan Ko in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich California board licenses this profession
Search for license 40163Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $151,103.82
21 payments; by number, the most common kind was compensation for serving as faculty or as a speaker for a medical education program; the largest payer was Envista Holdings Corporation. The 2,057 providers of this specialty with any payment received $49,739.86 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bernice Tan Ko among 1,018 endodontics records in California
Bernice Tan Ko is one of 1,018 endodontics records with a practice address in California. 68% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 27% of them.
- NPI issued2007 · 27% of these records are older, 42% newer
- In a Medicare fileYes · 68% of these records are
- In the CMS Doctors and Clinicians fileNo · under 1% of these records are
- Record last updated2022 · 78% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1223E0200X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Endodontics providers in California
There are 1,018 endodontics records in California.
All 1,018 in California → Every provider in Venice → Endodontics nationwide →
The 8 endodontics records with the nearest ZIP codes
- Bradley Lewis, DDSMarina Del Rey, CA 902921326719832
- Kaveh Pajouhan, D.D.S.Marina Del Rey, CA 902921508208588
- Sean Kim, DDSSouth Gate, CA 902801215456041
- Keith Komatsu, D.D.S.Redondo Beach, CA 902771366659104
- Rhoda Ross, DDSRedondo Beach, CA 902771881860120
- Nora Haghparast Hassas, DDSRancho Palos Verdes, CA 902751053743468
- Ali Vaziri, D.D.S.Pacific Palisades, CA 902721669532925
- Kory Golchert, DDS, PHDManhattan Beach, CA 902661508394644
Common questions
What is Bernice Tan Ko's NPI number?
Bernice Tan Ko's National Provider Identifier (NPI) is 1417174467, issued on Apr 19, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Bernice Tan Ko located?
The NPPES record lists a practice address at 323 Lincoln Blvd, Venice, CA, 90291. Phone: (310) 392-4103. Providers update this record themselves, so call before visiting.
How can I verify Bernice Tan Ko's license?
NPPES lists California license number 40163, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.