J D E Bilbao DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

56034 Issued in CA

Legal business name

J D E BILBAO DDS

Doing business as

Night Owl Dental

Practice address

2262 Pacific Coast Hwy
Lomita, CA 90717-2532

Phone

(310) 530-3790

Fax

(310) 530-3246

NPI assigned

May 5, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Jde Bilbao, DDS

Title

President

Phone

(310) 530-3790

Specialties & licenses 1

Addresses

Other names 1

• Night Owl Dental Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jo Devenne Elek Sullano Bilbao, D.D.S.

  • General Practice Dentistry
  • Highland, CA
  • NPI 1265620009
  Medicare reassignment NPD
• Charlotte Eugenie Etesse, DDS

  • General Practice Dentistry
  • Solana Beach, CA
  • NPI 1336636240
  NPD (past)
• Jiyeon J Kim, DMD

  • General Practice Dentistry
  • Lomita, CA
  • NPI 1568864262
  NPD (past)
• Sun Y Kim, DDS

  • General Practice Dentistry
  • Lomita, CA
  • NPI 1326189937
  NPD (past)
• Nicholas Simon

  • General Practice Dentistry
  • Glendora, CA
  • NPI 1962037689
  NPD (past)

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399248000000",
    "number": "1225448863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2262 PACIFIC COAST HWY",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907172532",
            "telephone_number": "310-530-3790",
            "fax_number": "310-530-3246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2262 PACIFIC COAST HWY",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907172532",
            "telephone_number": "310-530-3790",
            "fax_number": "310-530-3246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J D E BILBAO DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-05",
        "last_updated": "2014-05-05",
        "status": "A",
        "authorized_official_last_name": "BILBAO",
        "authorized_official_first_name": "JDE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-530-3790",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Night Owl Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carlos Limasin Ilem, D.M.D.,PC.
• Charito Nacito Imatong, BACHELOR OF SCIENCE
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• Lideia Navasca Itchon, M.D.
• James Leedom (Home Health Depot)
• Janeth L. Chaux D.D.S. Inc.
• Javid and Nadi Dental Corporation
• Javid and Nadi Dental Corporation
• Kayvon Javid, DDS

• General Practice Dentistry in Lomita, CA
• Providers in Lomita, 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 May 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.