Maria Eloisa Ilagan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

B46831 Issued in CA

Practice address

556 S Brand Blvd
San Fernando, CA 91340-4002

Phone

(818) 365-3004

Fax

(818) 365-7100

NPI assigned

Apr 9, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ilagan Dental Corp.

  • Exclusive Provider Organization
  • San Fernando, CA
  • NPI 1588981229
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053434787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 S BRAND BLVD",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913404002",
            "telephone_number": "818-365-3004",
            "fax_number": "818-365-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 S BRAND BLVD",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913404002",
            "telephone_number": "818-365-3004",
            "fax_number": "818-365-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILAGAN",
        "first_name": "MARIA",
        "middle_name": "ELOISA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "B46831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cleo Aileen Hunter, MFT
• Hyungrim Oh, D.D.S., Inc
• Ana Ibarra-Robles
• Rachel Ignatius
• Ilagan Dental Corp.
• Justin Ilejay, PT, DPT
• Iravani Dental Corp
• Jennifer Lee Irwin, LCSW
• Island Medical Services
• Cynthia Ann Akemi Ito

• General Practice Dentistry in San Fernando, CA
• Providers in San Fernando, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.