Roselyn Drapiza Ilanga, IDC

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

Marine Corps Air Ground Combat Center
Twentynine Palms, CA 92277

Phone

(760) 830-7475

Fax

(760) 830-7476

NPI assigned

Dec 10, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197244800000",
    "number": "1467635797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 788285",
            "city": "TWENTYNINE PALMS",
            "state": "CA",
            "postal_code": "922788285",
            "telephone_number": "760-830-7475",
            "fax_number": "760-830-7476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MARINE CORPS AIR GROUND COMBAT CENTER",
            "city": "TWENTYNINE PALMS",
            "state": "CA",
            "postal_code": "92277",
            "telephone_number": "760-830-7475",
            "fax_number": "760-830-7476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILANGA",
        "first_name": "ROSELYN",
        "middle_name": "DRAPIZA",
        "credential": "IDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-10",
        "last_updated": "2007-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew John Horch, MD
• Kennedy Howard
• Riley Hoyer, M.D.
• Alice Huang, DMD
• Brianne Dela Cruz Ilaban, COTA
• Kirsten Imhof, RN
• Brayden Eric Immekus
• Jauron Eugene James
• Lejon J Jenkins, IDC
• Arika L Johnson, PSYD

• Independent Duty Corpsman in Twentynine Palms, CA
• Providers in Twentynine Palms, CA by specialty
• Independent Duty Corpsman in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.