Individual provider Active NPI

Iulia Nesterenco, DDS

  • Dentist
  • Marina del Rey, CA
National Provider Identifier
1982429031
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
111015 Issued in CA
Practice address
13286 Fiji Way
Marina del Rey, CA 90292-7119
Phone
(561) 344-5523
NPI assigned
Nov 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 111015 CA Primary

Addresses

Primary practice location

13286 Fiji Way
Marina del Rey, CA 90292-7119

Mailing address

1663 Brandywine Rd Apt 5217
West Palm Beach, FL 33409-2097
Phone (561) 344-5523

Other practice location 1

3130 S Sepulveda Blvd
Los Angeles, CA 90034-4215
Phone (561) 344-5523

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
111015CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1732233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1982429031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1663 BRANDYWINE RD APT 5217",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334092097",
            "telephone_number": "561-344-5523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13286 FIJI WAY",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902927119",
            "telephone_number": "561-344-5523"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3130 S Sepulveda Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900344215",
            "country_code": "US",
            "telephone_number": "561-344-5523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NESTERENCO",
        "first_name": "IULIA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-22",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "111015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marina del Rey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; 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.