What is Jewel Illis's NPI number?

Jewel Illis's National Provider Identifier (NPI) is 1205617933, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jewel Illis's specialty?

Jewel Illis is listed in the NPPES registry with a primary specialty of Community Health Worker (Other Service Providers).

Where is Jewel Illis located?

Jewel Illis's practice location on file with NPPES is 3633 E Broadway, Long Beach, CA 90803-6035.

What is Jewel Illis's phone number?

The practice phone number listed in the NPPES registry for Jewel Illis is (661) 604-2015.

Is Jewel Illis's NPI active?

Yes — Jewel Illis's NPI (1205617933) is active in the NPPES registry as of the last update on 2026-02-24.

IndividualActive

Jewel Illis

NPI 1205617933 · Community Health Worker · Long Beach, CA

Jewel Illis is a Community Health Worker provider in Long Beach, CA (NPI 1205617933).

Provider details

NPI number: 1205617933
Entity type: Individual
Primary specialty: Community Health WorkerOther Service Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Community Health WorkerPrimary172V00000X
Other Service Providers

Profile Score

Established profile(51/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
2 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

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

3633 E Broadway

Long Beach, CA 90803-6035

Phone: (661) 604-2015

Street-level locationGet directions

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Mailing address