Individual provider Active NPI

Jose Eduardo Cedillo Felix, DDS

  • Dentist
  • Torrance, CA
National Provider Identifier
1649817875
Registry record updated Dec 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
103605 Issued in CA
Practice address
23609 Hawthorne Blvd Ste B
Torrance, CA 90505-6023
Phone
(310) 231-6866
NPI assigned
Dec 6, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 103605 CA Primary

Addresses

Primary practice location

23609 Hawthorne Blvd Ste B
Torrance, CA 90505-6023

Mailing address

5993 E Pacific Coast Hwy Apt 4
Long Beach, CA 90803-4964
Phone (562) 481-8610

Other practice location 1

101 W Carson St
Carson, CA 90745-2602
Phone (310) 626-0004

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://dentistoftorrance.com/

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
103605CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jose Cedillo Felix DDS Inc Dentist CurrentSince Feb 8, 2023 Accepting new patients

Locations

3610 Long Beach Blvd
Ste 201
Long Beach, CA 90807
Phone (562) 279-2150

Organizations & group practices 1

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": "1575590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1649817875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5993 E PACIFIC COAST HWY APT 4",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908034964",
            "telephone_number": "562-481-8610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23609 HAWTHORNE BLVD STE B",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056023",
            "telephone_number": "310-231-6866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 W Carson St",
            "address_purpose": "LOCATION",
            "city": "Carson",
            "state": "CA",
            "postal_code": "907452602",
            "country_code": "US",
            "telephone_number": "310-626-0004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CEDILLO FELIX",
        "first_name": "JOSE",
        "middle_name": "EDUARDO",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-06",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "103605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://dentistoftorrance.com/",
            "affiliation": "N",
            "address_1": "23609 Hawthorne Blvd Ste B",
            "city": "Torrance",
            "state": "CA",
            "country_code": "US",
            "postal_code": "905056023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; 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.