Ilia Jbankov, FNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

95002693 Issued in CA

Practice address

2411 N Broadway
Los Angeles, CA 90031-2218

Phone

(323) 987-2000

Fax

(323) 987-1448

NPI assigned

Jul 24, 2014

Last updated

Mar 20, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

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.

• American Current Care of California, a Medical Corporation

  dba Concentra Urgent Care

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1750573622
  Medicare reassignment NPD
• Arroyo Vista Family Health Foundation

  dba Arroyo Vista Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1447353701
  Medicare reassignment NPD
• Osher Resources Inc

  dba Act Medical Group Inc

  • Family Health Clinical Nurse Specialist
  • North Hollywood, CA
  • NPI 1700282654
  Medicare reassignment NPD
• American Current Care of California, a Medical Corporation

  dba Concentra Urgent Care

  • Urgent Care Clinic/Center
  • Ontario, CA
  • NPI 1811464084
  NPD
• American Current Care of California, a Medical Corporation

  dba Concentra Urgent Care

  • Urgent Care Clinic/Center
  • Bakersfield, CA
  • NPI 1952877516
  NPD

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489968000000",
    "number": "1881002673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 N FIGUEROA ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900424232",
            "telephone_number": "323-254-5291",
            "fax_number": "323-254-4618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 N BROADWAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900312218",
            "telephone_number": "323-987-2000",
            "fax_number": "323-987-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JBANKOV",
        "first_name": "ILIA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-24",
        "last_updated": "2017-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP126828",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95002693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jays Drug
• Jaz Capital Investments LLC (Westwind Outpatient Services)
• Jaz Capital Investments LLC (Rewired Treatment)
• Ali Jazayeri
• Mahnoush Monica Jazzabi, M.D.
• JBN Operations LLC
• JC Harmony Care
• JC Harmony Care
• JC&C
• JC&C, Inc

• Primary Care Nurse Practitioner in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; 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.