IndividualActive
Latrisha Ilas, DDS
NPI 1053084764 · General Practice Dentistry · San Jose, CA
Latrisha Ilas, DDS is a General Practice Dentistry provider in San Jose, CA (NPI 1053084764).
Provider details
- NPI number
- 1053084764
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- 106463 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1206 N Capitol Ave Ste 101
San Jose, CA 95132-2572
Phone: (408) 928-1450
Fax: (408) 928-1454
Street-level locationGet directions
Mailing address
1206 N Capitol Ave Ste 101
San Jose, CA 95132-2572
Additional practice locations (1)
- 2030 Diamond Blvd Ste 25Concord, CA 94520-5753Phone: (925) 687-8000Fax: (925) 687-8223
Registry dates
- Enumerated
- 2021-07-28
- Last updated
- 2021-07-28
- Certified
- 2021-07-26
Frequently asked questions
- What is Latrisha Ilas's NPI number?
- Latrisha Ilas's National Provider Identifier (NPI) is 1053084764, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Latrisha Ilas's specialty?
- Latrisha Ilas is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Latrisha Ilas located?
- Latrisha Ilas's practice location on file with NPPES is 1206 N Capitol Ave Ste 101, San Jose, CA 95132-2572.
- What is Latrisha Ilas's phone number?
- The practice phone number listed in the NPPES registry for Latrisha Ilas is (408) 928-1450.
- Is Latrisha Ilas's NPI active?
- Yes — Latrisha Ilas's NPI (1053084764) is active in the NPPES registry as of the last update on 2021-07-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.