Leo Jireh Cioco Abelita, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

40521 Issued in CA

Practice address

1809 1/2 West Lomita Boulevard
Lomita, CA 90717

Phone

(310) 539-1224

Fax

(310) 530-5796

NPI assigned

Aug 30, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Eligio Abelita Former name

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

• Leo Jireh C Abelita DMD Inc

  • Dentist
  • Lomita, CA
  • NPI 1215101324
  Authorized official Same address or phone

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215047303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 1/2 WEST LOMITA BOULEVARD",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "90717",
            "telephone_number": "310-539-1224",
            "fax_number": "310-530-5796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 1/2 WEST LOMITA BOULEVARD",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "90717",
            "telephone_number": "310-539-1224",
            "fax_number": "310-530-5796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABELITA",
        "first_name": "LEO JIREH",
        "middle_name": "CIOCO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "40521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIGIO",
            "last_name": "ABELITA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Dentist in Lomita, CA
• Providers in Lomita, CA by specialty
• Dentist 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.