ILIA JBANKOV (NPI# 1881002673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881002673 |
| Entity Type | Individual |
| Full Name | ILIA JBANKOV |
| Credential | FNP |
| Practice Address |
2411 N Broadway Los Angeles CA 90031-2218 |
| Mailing Address |
6000 N Figueroa St Los Angeles CA 90042-4232 |
| Practice Telephone | 3239872000 |
| Practice Fax Number | 3239871448 |
| Mailing Telephone | 3232545291 |
| Mailing Fax Number | 3232544618 |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2017-03-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP126828 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
95002693 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2411 N BROADWAY |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90031-2218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336132166 | Teresia Mccollister | Family Medicine | 2411 N Broadway, Los Angeles, CA 90031-2218 | 2005-08-26 |
| 1720552037 | Irma Madrigal Campos | Dietitian, Registered | 2411 N Broadway, Los Angeles, CA 90031-2218 | 2019-01-20 |
| 1629411228 | Hugh Bach | Family Medicine | 2411 N Broadway, Los Angeles, CA 90031-2218 | 2013-04-12 |
| 1821304965 | Hassan B Halawi | Pediatrics | 2411 N Broadway, Los Angeles, CA 90031-2218 | 2010-08-26 |
| 1124283478 | Victoria Rachele Rossi-campagna | Optometrist | 2411 N Broadway, Los Angeles, CA 90031-2218 | 2008-07-26 |
| 1548439524 | Diala Faddoul | Pediatrics | 2411 N Broadway, Los Angeles, CA 90031-2218 | 2008-02-25 |
| 1528137809 | Pensri Smithedajkul | Nurse Practitioner | 2411 N Broadway, Los Angeles, CA 90031 | 2006-11-08 |
| 1962596072 | Lin-huey Hwang | Pediatrics | 2411 N Broadway, Los Angeles, CA 90031-2218 | 2006-10-03 |
| 1669579942 | Arroyo Vista Family Health Foundation | Clinic/Center | 2411 N Broadway, Los Angeles, CA 90031-2218 | 2006-09-20 |
| 1215920046 | Anh Huu Nguyen | Family Medicine | 2411 N Broadway, Los Angeles, CA 90031-2218 | 2005-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194247031 | James Han | Counselor | 2010 Lincoln Park Ave., Los Angeles, CA 90031 | 2017-07-12 |
| 1457712200 | Arturo Ibarra D.d.s. Inc | Dentist | 2407 North Broadway, Los Angeles, CA 90031 | 2016-03-08 |
| 1083081780 | Blair Evans James | Social Worker | 434 E Avenue 28 Ste 106, Los Angeles, CA 90031 | 2015-08-28 |
| 1538578133 | Si Xu | Acupuncturist | 2415 Pasadena Ave, Los Angeles, CA 90031 | 2014-08-07 |
| 1346583309 | Arlene Mary Juarez | Counselor | 2309 Daly Street, Masa Youth Center, Los Angeles, CA 90031 | 2013-03-28 |
| 1770858250 | Rama Paliwal | Pediatrics | 1025 Daly St, Jchs, Los Angeles, CA 90031 | 2012-03-15 |
| 1033482476 | Eloisa Padilla | Social Worker | 2309 Daly St ., Los Angeles, CA 90031 | 2012-02-15 |
| 1851601975 | Edmond Hwan Kim | Acupuncturist | 330 W. Avenue 26, #328, Los Angeles, CA 90031 | 2010-10-08 |
| 1629209382 | Dante Almendral Md, A Medical Corporation | Ophthalmology | 2425 North Broadway St., Los Angeles, CA 90031 | 2009-07-29 |
| 1003044090 | Sindy K. Ramos | Counselor | 1721 Griffin Ave., Los Angeles, CA 90031 | 2009-06-29 |
| Find all providers in zip 90031 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700436433 | Violet C Mayers | Nurse Practitioner | 5707 10th Ave, Los Angeles, CA 90043-2527 | 2019-09-15 |
| 1477109957 | Rosie Vasquez | Nurse Practitioner | 241 N Figueroa St Ste 306-d, Los Angeles, CA 90012-2601 | 2019-08-12 |
| 1669946554 | Jean E Hensley | Nurse Practitioner | 4154 Charlene Dr, Los Angeles, CA 90043-1553 | 2019-01-14 |
| 1396218236 | Melissa Kaye Tauer | Nurse Practitioner | 5901 W Olympic Blvd Ste 200, Los Angeles, CA 90036-4663 | 2019-01-03 |
| 1497299697 | Hau Cheng Yau | Nurse Practitioner | 1520 San Pablo St Fl 1, Los Angeles, CA 90033 | 2016-12-07 |
| 1417005695 | Lorna M Johnson | Nurse Practitioner | 1201 E Florence Ave, Los Angeles, CA 90001-2432 | 2007-01-06 |
| 1255381901 | Lisa Li Hsieh | Nurse Practitioner | 819 W Cesar E Chavez Ave, Los Angeles, CA 90012-2130 | 2006-05-12 |
| 1265041347 | Ogochukwu Ike | Nurse Practitioner | 450 Bauchet St, Los Angeles, CA 90012-2907 | 2020-07-24 |
| 1881202190 | Rumi Sato | Nurse Practitioner | 441 Bauchet St, Los Angeles, CA 90012-2906 | 2020-07-22 |
| 1609496223 | M Jessica Graves | Nurse Practitioner | 450 Bauchet St, Los Angeles, CA 90012-2907 | 2020-04-23 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90031 |
Please comment or provide details below to improve the information on ILIA JBANKOV.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.