Active NPI
Jesse Elliott Bissell, DDS
- Dentist
- Los Angeles, CA
National Provider Identifier
1043109374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 111843
- Practice address
- 5877 S Vermont Ave
Los Angeles, CA 90044-3741 - Phone
- (323) 759-1523
- NPI assigned
- Jul 1, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 111843 | CA | Primary |
Addresses
Primary practice location
5877 S Vermont Ave
Los Angeles, CA 90044-3741
Mailing address
2108 N St Ste N
Sacramento, CA 95816-5712
Phone (978) 380-2082
Other practice location 1
2321 E Florence Ave # 103
Huntington Park, CA 90255-5620
Phone (323) 776-1300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111843 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751328000000",
"number": "1043109374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2108 N ST STE N",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958165712",
"telephone_number": "978-380-2082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5877 S VERMONT AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900443741",
"telephone_number": "323-759-1523"
}
],
"practiceLocations": [
{
"address_1": "2321 E Florence Ave # 103",
"address_purpose": "LOCATION",
"city": "Huntington Park",
"state": "CA",
"postal_code": "902555620",
"country_code": "US",
"telephone_number": "323-776-1300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BISSELL",
"first_name": "JESSE",
"middle_name": "ELLIOTT",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-07-01",
"last_updated": "2025-07-01",
"certification_date": "2025-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "111843",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.