Dr. Edwin L Edillon , MD
Specialist • West Covina, CA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Edwin Edillon has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Edwin Edillon, MD was a registered Specialist practicing in West Covina, CA. Throughout an active medical career spanning 1 years, Dr. Edillon provided care at the practice location at 222 N SUNSET AVE until profile deactivation on 2006-03-16.
Historical Medicare Part B clinical services included removal of gallbladder using an endoscope, subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Public procedure reimbursement records and service volume details are provided below for historical transparency.
Practice Location & Contact Primary Location
222 N Sunset Ave
Suite F
West Covina, CA 917902278
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in West Covina, CA
Practicing in West Covina, CA (6446 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
47562
Removal of gallbladder using an endoscope
|
17 | 17 | $350.00 | $110.81 |
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Obstetrics & Gynecology
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on March 27, 2025
Registered at 222 N SUNSET AVE, SUITE F, WEST COVINA, CA 917902278 (Tel: 6263381016)
Registered at 222 N SUNSET AVE, SUITE F, WEST COVINA, CA 917902278 (Tel: 6263381016)
Recorded as EDWIN EDILLON, M.D.
Specialist (License #A38045 in CA)
Record officially reactivated for active practice on March 22, 2006
Record deactivated on March 16, 2006
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
222 N Sunset Ave, Suite F
West Covina, CA 917902278
Phone: 6263381016
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