Active NPI
Micael Hilario, D.D.S.
- Periodontics
- Torrance, CA
National Provider Identifier
1073935128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DDS101038
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170525001207 | CA | Order and Referring Only - Dentist | 9436426368 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS101038 | CA | MD | Periodontist |
| 056889-1 | NY | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pham Hilario Dental Partnership | Periodontics | Current | Accepting new patients |
| Dr. Cecilia T. Lontoc, Inc. | Past | 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.
-
- General Practice Dentistry
- Torrance, CA
- NPI 1568678118
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.