Individual provider Active NPI

Nathan Oliver L'Esperance, DDS

  • General Practice Dentistry
  • Gardena, CA
National Provider Identifier
1326616814
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
107953 Issued in CA
Practice address
1104 W Redondo Beach Blvd
Gardena, CA 90247-3512
Phone
(310) 366-7666
NPI assigned
Jun 11, 2021
Last updated
Mar 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230119002780 CA Order and Referring Only - DentistPractitioner - Dentist 0446621932

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
107953CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Oates and Jefferson Dental Corporation General Practice PastSince Sep 1, 2022 Accepting new patients
Amir Saz, DDS, a Dental Corporation PastSince Mar 12, 2024 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.

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

Verify at the official NPI Registry.