Individual provider Active NPI

Ilona Ignatjeva

  • Other Specialist/Technologist
  • San Mateo, CA
National Provider Identifier
1821921065
Registry record updated Jun 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other Specialist/TechnologistTaxonomy code 246Z00000X
License
30000745L Issued in CA
Practice address
450 N San Mateo Dr
San Mateo, CA 94401-2418
Phone
(707) 997-8029
NPI assigned
Jun 6, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Specialist/Technologist 246Z00000X 30000745L CA Primary

Addresses

Primary practice location

450 N San Mateo Dr
San Mateo, CA 94401-2418

Mailing address

345 Rodgers St
Vallejo, CA 94590-3070
Phone (707) 997-8029

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
30000745LCAMDOther Specialist/Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Electrolysis Studio LLC Specialist/Technologist, Other Current Accepting new patients

Locations

450 N San Mateo Dr
San Mateo, CA 94401
Phone (650) 366-2900

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": "1780704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780704000000",
    "number": "1821921065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 RODGERS ST",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945903070",
            "telephone_number": "707-997-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N SAN MATEO DR",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012418",
            "telephone_number": "707-997-8029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGNATJEVA",
        "first_name": "ILONA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-06",
        "last_updated": "2026-06-06",
        "certification_date": "2026-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "CA",
            "license": "30000745L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2026; 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.