Individual provider Active NPI

Dilip Aka Durgesh J Tilala

  • Pharmacist
  • Chino Hills, CA
National Provider Identifier
1952948960
Registry record updated Dec 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
81159 Issued in CA
Practice address
15867 High Knoll Dr Unit 80
Chino Hills, CA 91709-4273
Phone
(714) 873-5450
NPI assigned
Dec 9, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 81159 CA Primary

Addresses

Primary practice location

15867 High Knoll Dr Unit 80
Chino Hills, CA 91709-4273

Mailing address

15867 High Knoll Dr Unit 80
Chino Hills, CA 91709-4273
Phone (714) 873-5450

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
81159CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1952948960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15867 HIGH KNOLL DR UNIT 80",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917094273",
            "telephone_number": "714-873-5450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15867 HIGH KNOLL DR UNIT 80",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917094273",
            "telephone_number": "714-873-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILALA",
        "first_name": "DILIP AKA DURGESH",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-09",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "81159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; 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.