Individual provider Active NPI

Eilene Jimenez Espina, D.M.D.

  • General Practice Dentistry
  • Daly City, CA
National Provider Identifier
1699080747
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
42307 Issued in CA
Practice address
341 Westlake Ctr
Ste. 310 Medical & Dental Building
Daly City, CA 94015-1441
Phone
(650) 585-4621
Fax
(650) 585-4621
NPI assigned
Aug 13, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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 42307 CA Primary

Addresses

Primary practice location

341 Westlake Ctr
Ste. 310 Medical & Dental Building
Daly City, CA 94015-1441

Mailing address

341 Westlake Ctr
Ste. 310 Medical & Dental Building
Daly City, CA 94015-1441
Phone (650) 585-4621

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

NPI Registry JSON

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

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319500800000",
    "number": "1699080747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 WESTLAKE CTR",
            "address_2": "STE. 310 MEDICAL & DENTAL BUILDING",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940151441",
            "telephone_number": "650-585-4621",
            "fax_number": "650-585-4621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 WESTLAKE CTR",
            "address_2": "STE. 310 MEDICAL & DENTAL BUILDING",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940151441",
            "telephone_number": "650-585-4621",
            "fax_number": "650-585-4621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPINA",
        "first_name": "EILENE",
        "middle_name": "JIMENEZ",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-13",
        "last_updated": "2011-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daly City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; 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.