Razvan Ilie, FNP, DC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95002192 Issued in CA

Practice address

3701 J St
Ste 201
Sacramento, CA 95816-5562

Phone

(916) 454-2345

Fax

(916) 550-5003

NPI assigned

May 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523923200000",
    "number": "1396799425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 CAMPUS COMMONS RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256632",
            "telephone_number": "916-804-0645",
            "fax_number": "916-550-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 J ST",
            "address_2": "STE 201",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165562",
            "telephone_number": "916-454-2345",
            "fax_number": "916-550-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILIE",
        "first_name": "RAZVAN",
        "name_prefix": "Dr.",
        "credential": "FNP, DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2018-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "777273",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95002192",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC30043",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audrey Ilagan
• Eghosa Christopher Ilaide
• Ileihno Bopachemihn, Inc.
• Ileihno Bopachemihn, Inc.
• Maribel Delos Reyes Ilejay, FNP
• Simona Andreea Ilie, N.P.
• William Bennett Iliff, DDS
• Alina Ilinova
• Vanja I Illich
• Alyssa Ann Ilsley

• Family Nurse Practitioner in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.