Jessica Ilagan Avergonzado,D.D.S., Inc

Primary specialty

DentistTaxonomy code 122300000X

License

49338 Issued in CA

Legal business name

JESSICA ILAGAN AVERGONZADO,D.D.S., INC

Practice address

13424 Woodruff Ave
Bellflower, CA 90706-2629

Phone

(562) 804-7580

Fax

(562) 916-3397

NPI assigned

Oct 27, 2014

Last updated

Oct 27, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jessica Ilagan Avergonzado

Title

President

Phone

(562) 804-7580

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jessica Zenaida Ilagan-Avergonzado, D.D.S.

  • General Practice Dentistry
  • Bellflower, CA
  • NPI 1700961752
  NPD (past)

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

{
    "created_epoch": "1414368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414368000000",
    "number": "1700281268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13424 WOODRUFF AVE",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907062629",
            "telephone_number": "562-804-7580",
            "fax_number": "562-916-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13424 WOODRUFF AVE",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907062629",
            "telephone_number": "562-804-7580",
            "fax_number": "562-916-3397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA ILAGAN AVERGONZADO,D.D.S., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-27",
        "last_updated": "2014-10-27",
        "status": "A",
        "authorized_official_last_name": "AVERGONZADO",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "ILAGAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-804-7580",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "49338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ireshka Dilushini Jayasundera
• Stacey Jean-Pierre, PA-C
• Shahrokh Moshe Jedian, D.D.S.
• Jennifer Shin DDS Inc
• Bermarie Jerez
• Jesusa N Romero MD a Professional Corporation
• Eva M Jimenez
• Jaime Mauricio Jimenez, MD
• John Yoo DDS Inc
• Bonnie J. Johnson, MD

• Dentist in Bellflower, CA
• Providers in Bellflower, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; 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.