DR. ELISE K FERNANDEZ DDS
NPI 1376019265
Dentist in Los Angeles, CA

Q: What is Elise Fernandez's NPI number?

The NPI number for Elise Fernandez is 1376019265. It was assigned to this individual provider in the NPPES registry on October 17, 2018.

Q: What is Elise Fernandez's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Elise Fernandez was last updated on October 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since October 17, 2018

12121 WILSHIRE BLVD STE 1111, LOS ANGELES, CA 90025(310) 409-4265(310) 820-0588 Get Directions Write a Review

NPPES record last updated: October 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Elise K Fernandez Dds NPPES

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

DR. ELISE K FERNANDEZ DDS (NPI 1376019265) is an individual dentist in Los Angeles, California, licensed in California (103272) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1376019265

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. ELISE K FERNANDEZCredential: DDS

Location Address12121 WILSHIRE BLVD STE 1111Los Angeles, CA 90025-1188

Mailing Address915 N La Brea Ave Apt 368West Hollywood, CA 90038-2363 · (305) 972-5122

Phone(310) 409-4265

Fax(310) 820-0588

Sole ProprietorNo

Enumeration DateOctober 17, 2018

✔ NPI 1376019265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 103272

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

12121 WILSHIRE BLVD STE 1111, Los Angeles, CA 90025

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Other Identifiers 1

Medicaid103272CA

Accepted Insurance

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

Other Providers at the Same Location NPPES 20

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

MISS JENNIFER MARIE BARTLETT

Dental Assistant