Liliane Idylle, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

12060 Issued in CA

Practice address

2444 W Beverly Blvd
Montebello, CA 90640-2306

Phone

(562) 333-8288

NPI assigned

Jan 25, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA, OH, TN, TX4 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 4

Specialty

Internal Medicine

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

GN Medical Associates, IncGroup PAC ID 5092605816, 40 clinicians

Careconnectmd Ca PCGroup PAC ID 5496178055, 30 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Hills Post Acute Nursing home, Santa Ana, CA, CCN 555765
• Seal Beach Health and Rehabilitation Center Nursing home, Seal Beach, CA, CCN 056010
• Ocean Ridge Post Acute Nursing home, Long Beach, CA, CCN 056378
• The Beach Post-Acute Nursing home, Long Beach, CA, CCN 055041

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Careconnectmd Ca PC

  • Family Medicine Physician
  • Costa Mesa, CA
  • NPI 1366063125
  Medicare reassignment Care Compare group NPD
• GN Medical Associates, Inc.

  • Family Medicine Physician
  • Costa Mesa, CA
  • NPI 1275576522
  Medicare reassignment Care Compare group NPD
• Care Partners California Medical PC

  • Geriatric Medicine (Family Medicine) Physician
  • Costa Mesa, CA
  • NPI 1669260493
  Medicare reassignment NPD
• Hospitalist Group of Montebello Inc

  • Hospitalist Physician
  • Corona, CA
  • NPI 1578959318
  Medicare reassignment NPD
• Im-FSR Inc.

  • Hospitalist Physician
  • Chino Hills, CA
  • NPI 1154742229
  Medicare reassignment NPD
• Careconnectmd Texas PA

  • General Practice Physician
  • Austin, TX
  • NPI 1043846132
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ag Seal Beach, LLC

  • Skilled Nursing Facility
  • Seal Beach, CA
  • NPI 1699769182

  Nursing home

  Care Compare affiliation
• Alamitos Ridge Healthcare, LLC

  • Skilled Nursing Facility
  • Long Beach, CA
  • NPI 1689308132

  Nursing home

  Care Compare affiliation
• Covenant Care California, LLC

  • Skilled Nursing Facility
  • Long Beach, CA
  • NPI 1053453902

  Nursing home

  Care Compare affiliation
• Tustin Hills Healthcare, Inc.

  • Skilled Nursing Facility
  • Santa Ana, CA
  • NPI 1609330547

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1114298957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12900 PARK PLAZA DR STE 150",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907039329",
            "telephone_number": "562-977-4639",
            "fax_number": "562-741-4479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2444 W BEVERLY BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906402306",
            "telephone_number": "562-333-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDYLLE",
        "first_name": "LILIANE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-25",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "12060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SID #113319",
            "identifier": "113319",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheng Hao Huang, DDS
• Kyung Ok Kim Huh, M.D.
• Jennifer H. Hung, MD.
• Hailey H Hwangbo, NP
• Hyderali M Mukadam MD
• Iftikhar a. Khan M.D., Inc.
• Dale David Inouye, D.D.S.
• Internal Medicine MDS Corp
• Ira E Felman MD
• Aisha Ishtiaq, LMFT

• Internal Medicine Physician in Montebello, CA
• Providers in Montebello, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.