Maria Cristina S Ilao, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95031510 Issued in CA

Practice address

9847 Mountain Vista Cir
Elk Grove, CA 95757-2616

Phone

(405) 474-5665

NPI assigned

Sep 25, 2024

Last updated

Sep 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pulmonary & Critical Care Associates of Modesto Inc

  • Pulmonary Disease Physician
  • Modesto, CA
  • NPI 1669849394

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1710704176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9847 MOUNTAIN VISTA CIR",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957572616",
            "telephone_number": "405-474-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9847 MOUNTAIN VISTA CIR",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957572616",
            "telephone_number": "405-474-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILAO",
        "first_name": "MARIA CRISTINA",
        "middle_name": "S",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95031510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Ide
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• Lauren Ihle
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• Imperial Agency
• Inaksh Johal, D.D.S., Inc.
• Independent Physicians Office Management, Inc.
• Litzy Infante
• Innovative Senior Rehabilitation Services, Inc. (Innovative Senior Rehab)

• Nurse Practitioner in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.