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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JACOB WASSILY
NPI 1497660765
Dentist - General Practice in Redondo Beach, CA

Active since August 18, 2026
2219 BELMONT LN, REDONDO BEACH, CA 90278(310) 347-6976 Get Directions Write a Review

NPPES record added: August 18, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jacob Wassily NPPES

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

JACOB WASSILY (NPI 1497660765) is an individual general practice provider in Redondo Beach, California, licensed in California (113763) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1497660765
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJACOB WASSILY
Location Address2219 BELMONT LNRedondo Beach, CA 90278-5017
Mailing Address2219 Belmont LnRedondo Beach, CA 90278-5017 · (310) 347-6976
Phone(310) 347-6976
Sole ProprietorNo
Enumeration DateAugust 18, 2026
NPPES CertifiedAugust 17, 2026
✔ NPI 1497660765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 113763
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2219 BELMONT LN, Redondo Beach, CA 90278
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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 Wassily's NPI number?

The NPI number for Jacob Wassily is 1497660765. It was assigned to this individual provider in the NPPES registry on August 18, 2026.

Where is Jacob Wassily located?

Jacob Wassily practices at 2219 Belmont Ln, Redondo Beach, CA 90278. The listed phone number is (310) 347-6976.

What is Jacob Wassily's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jacob Wassily was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.