Individual provider Active NPI

Francisco Ilem Jr, D.M.D.

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1386784999
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
033298 Issued in CA
Practice address
1253 Vine St
Suite 18
Los Angeles, CA 90038-1662
Phone
(323) 464-0489
NPI assigned
Feb 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 033298 CA Primary

Addresses

Primary practice location

1253 Vine St
Suite 18
Los Angeles, CA 90038-1662

Mailing address

1253 Vine St
Suite 18
Los Angeles, CA 90038-1662
Phone (323) 464-0489

Other identifiers 1

IdentifierTypeStateIssuer
954233527OtherCATAXPAYER IDENTIFICATION #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
033298CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ilem Braces 4 Less, Inc. PastSince Dec 8, 2024 Accepting new patients
Francisco Ilem Jr DMD Inc. 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386784999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1253 VINE ST",
            "address_2": "SUITE 18",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900381662",
            "telephone_number": "323-464-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1253 VINE ST",
            "address_2": "SUITE 18",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900381662",
            "telephone_number": "323-464-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILEM JR",
        "first_name": "FRANCISCO",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "033298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXPAYER IDENTIFICATION #",
            "identifier": "954233527",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.