Dodjie Santos Hilario, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

23566 Issued in CA

Practice address

1330 W Ramsey St
Banning, CA 92220-4477

Phone

(951) 849-7142

Fax

(951) 849-1762

NPI assigned

Aug 23, 2013

Last updated

Jun 15, 2021By 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 3

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.

• Minghsun Liu, M.D., PC

  dba Woundtech of California

  • Infectious Disease Physician
  • Los Angeles, CA
  • NPI 1518309368
  Medicare reassignment NPD
• Balboa Nephrology Medical Group, Inc.

  • Nephrology Physician
  • San Diego, CA
  • NPI 1316997505
  NPD (past)
• Nephrology Associates Medical Group, Inc.

  • Specialist
  • Riverside, CA
  • NPI 1093264145
  NPD (past)

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

{
    "created_epoch": "1377216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1942634159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54130",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900540130",
            "telephone_number": "951-687-3400",
            "fax_number": "951-687-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 W RAMSEY ST",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922204477",
            "telephone_number": "951-849-7142",
            "fax_number": "951-849-1762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILARIO",
        "first_name": "DODJIE",
        "middle_name": "SANTOS",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-23",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "23566",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "644612",
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "CA",
            "license": "NP-23566",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmin Hernandez, CADC I
• Rosemary A Hernandez, RN
• Kathleen Christina Hevesy
• Tamarra Ta'Laya Hicks, MFT- INTERN
• Highland Springs Teleneurology Services a Medical Corporation
• Candice Marie Hildebrand-Shipley, LMFT
• Hillside Mobile Primary Care, a Professional Nursing Corporation
• David Kien Ho, PHARMD
• Jeffrey Thomas Hodgson, MS CCC-SLP
• Maria Elena Holguin, LMFT

• Family Nurse Practitioner in Banning, CA
• Providers in Banning, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.