Active NPI
Nathan Oliver L'Esperance, DDS
- General Practice Dentistry
- Gardena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 107953
- Practice address
- 1104 W Redondo Beach Blvd
Gardena, CA 90247-3512 - Phone
- (310) 366-7666
- NPI assigned
- Jun 11, 2021
- Last updated
- Mar 5, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 107953 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1104 W Redondo Beach Blvd
Gardena, CA 90247-3512
Mailing address
1223 Federal Ave Apt 203
Los Angeles, CA 90025-3926
Phone (505) 429-6034
Other practice location 1
11301 Wilshire Blvd
Los Angeles, CA 90073-1003
Phone (505) 429-6034
Other practice location 2
11000 Weyburn Dr Apt A-929
Los Angeles, CA 90024-2832
Phone (505) 429-6034
Other practice location 3
1559 Pacific Coast Hwy Ste 101
Hermosa Beach, CA 90254-3214
Phone (310) 372-7686
Other practice location 4
2901 Whittier Blvd Ste C
Los Angeles, CA 90023-1533
Phone (323) 545-6208
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 |
|---|---|---|---|---|
| I20230119002780 | CA | Order and Referring Only - Dentist | 0446621932 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107953 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oates and Jefferson Dental Corporation | General Practice | Past | Accepting new patients |
| Amir Saz, DDS, a Dental Corporation | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Gardena, CA
- NPI 1992861645
-
dba Hermosa Smiles Dentistry
- General Practice Dentistry
- Hermosa Beach, CA
- NPI 1174961536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709596800000",
"number": "1326616814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1223 FEDERAL AVE APT 203",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900253926",
"telephone_number": "505-429-6034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1104 W REDONDO BEACH BLVD",
"city": "GARDENA",
"state": "CA",
"postal_code": "902473512",
"telephone_number": "310-366-7666"
}
],
"practiceLocations": [
{
"address_1": "11301 Wilshire Blvd",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900731003",
"country_code": "US",
"telephone_number": "505-429-6034",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11000 Weyburn Dr Apt A-929",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900242832",
"country_code": "US",
"telephone_number": "505-429-6034",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1559 Pacific Coast Hwy Ste 101",
"address_purpose": "LOCATION",
"city": "Hermosa Beach",
"state": "CA",
"postal_code": "902543214",
"country_code": "US",
"telephone_number": "310-372-7686",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2901 Whittier Blvd Ste C",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900231533",
"country_code": "US",
"telephone_number": "323-545-6208",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "L'ESPERANCE",
"first_name": "NATHAN",
"middle_name": "OLIVER",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-11",
"last_updated": "2024-03-05",
"certification_date": "2024-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "107953",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gardena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.