Mellisri Redjo - Setyono, D.D.S.
General Practice Dentistry · Los Angeles, CA
Mellisri Redjo - Setyono, D.D.S. is a general practice dentistry with a practice address in Los Angeles, California, and NPI 1598803801, issued on Feb 1, 2007. Check the license (California 36419, as entered in NPPES) with the California board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Mellisri Redjo - Setyono
- Credential
- D.D.S.
- Primary taxonomy
- General Practice Dentistry 1223G0001X
- License number
- 36419 CA
Self-reported in NPPES; status is on the state search - Practice location
- 749 S Union Ave, Los Angeles, CA 90017
- Phone
- (213) 483-5616
- Enumerated
- Feb 1, 2007
- Record last updated
- Feb 19, 2013 (not updated in 13 years: call before relying on the address or phone)
- Entity
- Type 1 · individual
Also registered at 749 S Union Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Didik Suhardjo, D.D.S.General Practice Dentistry1427078211
Verify Mellisri Redjo - Setyono in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich California board licenses this profession
Search for license 36419Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
36% fewer Medicare Part D claims than the average general practice dentistry in 2024
53 Medicare Part D claims for 23 beneficiaries, against an average of 83 among the 70,290 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims.
Most prescribed
- Ibuprofen23 claims
- Amoxicillin20 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
916 general practice dentistry records list a practice address in Los Angeles
They are 916 of the 69,537 NPPES records with a practice address in Los Angeles, and 17,852 general practice dentistry records in California.
All 916 in Los Angeles → All 17,852 in California → Every provider in Los Angeles →
Other general practice dentistry records in California
- Ronald Aanerud, DDSSan Diego, CA1871752931
- Steven Aaronson, D.D.S.Santa Monica, CA1265455851
- Shahrzad Aarup, DDSPomona, CA1265784367
- Al Abad, DDSSan Jose, CA1104992148
- Erwin Abad, D.D.S.Canoga Park, CA1861590093
- Francine Abad, DDSSan Francisco, CA1942700810
- Maria Abad, D.D.S.Norwalk, CA1215006754
- Mark Ryan Abad, DDSDaly City, CA1770357394
- Sanaz Abadi, D.D.S.Los Angeles, CA1699934026
- Ernesto Abadilla, DDSPalm Desert, CA1508063801
Common questions
What is Mellisri Redjo - Setyono, D.D.S.'s NPI number?
Mellisri Redjo - Setyono, D.D.S.'s National Provider Identifier (NPI) is 1598803801, issued on Feb 1, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Mellisri Redjo - Setyono, D.D.S. located?
The NPPES record lists a practice address at 749 S Union Ave, Los Angeles, CA, 90017. Phone: (213) 483-5616. Providers update this record themselves, so call before visiting.
How can I verify Mellisri Redjo - Setyono, D.D.S.'s license?
NPPES lists California license number 36419, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.
How much does Mellisri Redjo - Setyono, D.D.S. prescribe under Medicare Part D?
In 2024, Mellisri Redjo - Setyono, D.D.S. had 53 Medicare Part D claims for 23 beneficiaries; the average among general practice dentistry prescribers was 83. Part D covers Medicare prescriptions 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.