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DR. JACOB ELISHA D.D.S.
NPI 1144591462
Dentist - Periodontics in Los Angeles, CA

Active since January 18, 2012
11600 WILSHIRE BLVD STE 504, LOS ANGELES, CA 90025(310) 231-5100(310) 231-0024 Get Directions Write a Review

NPPES record last updated: January 18, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jacob Elisha D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACOB ELISHA D.D.S. (NPI 1144591462) is an individual periodontics provider in Los Angeles, California, licensed in California (36239) and active in the NPI registry since January 2012.

NPPES Registry Identity

NPI1144591462
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. JACOB ELISHACredential: D.D.S.
Location Address11600 WILSHIRE BLVD STE 504Los Angeles, CA 90025-1788
Mailing Address11600 Wilshire Blvd Ste 504Los Angeles, CA 90025-1788 · (310) 231-5100 · Fax (310) 231-0024
Phone(310) 231-5100
Fax(310) 231-0024
Sole ProprietorYes
Enumeration DateJanuary 18, 2012
✔ NPI 1144591462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in CA · 36239
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
11600 WILSHIRE BLVD STE 504, Los Angeles, CA 90025
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PEGAH KHAZAEI DDS
Dentist
11600 WILSHIRE BLVD STE 504
LOS ANGELES, CA 90025
Los Angeles County (310) 231-5100
DR. HOANG-ANH NGUYEN HO DDS
Dentist
11600 WILSHIRE BLVD STE 504
LOS ANGELES, CA 90025
Los Angeles County (310) 231-5100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Elisha's NPI number?

The NPI number for Jacob Elisha is 1144591462. It was assigned to this individual provider in the NPPES registry on January 18, 2012.

Where is Jacob Elisha located?

Jacob Elisha practices at 11600 Wilshire Blvd Ste 504, Los Angeles, CA 90025. The listed phone number is (310) 231-5100.

What is Jacob Elisha's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

What insurance does Jacob Elisha accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Florida Combined Life and Humana and 1 other insurer list Jacob Elisha as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacob Elisha was last updated on January 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.