Individual provider Active NPI

Micael Hilario, D.D.S.

  • Periodontics
  • Torrance, CA
National Provider Identifier
1073935128
Registry record updated Jan 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DDS101038 Issued in CA
Practice address
2275 W Carson St Ste a
Torrance, CA 90501-3189
Phone
(310) 782-6155
NPI assigned
Jan 9, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 056889-1 NY
Periodontics 1223P0300X DDS101038 CA Primary

Addresses

Primary practice location

2275 W Carson St Ste a
Torrance, CA 90501-3189

Mailing address

2275 W Carson St Ste a
Torrance, CA 90501-3189
Phone (310) 782-6155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170525001207 CA Order and Referring Only - DentistPractitioner - Dentist 9436426368

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DDS101038CAMDPeriodontist
056889-1NYMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Pham Hilario Dental Partnership Periodontics CurrentSince Aug 9, 2020 Accepting new patients
Dr. Cecilia T. Lontoc, Inc. PastSince Feb 2, 2020 Accepting new patients

Locations

2275 W Carson St
Ste A
Torrance, CA 90501
Phone (310) 782-6155

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1389225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1073935128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 W CARSON ST STE A",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905013189",
            "telephone_number": "310-782-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 W CARSON ST STE A",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905013189",
            "telephone_number": "310-782-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILARIO",
        "first_name": "MICAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-09",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "056889-1",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "DDS101038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.