Mustafa A Dabbagh, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

47063 Issued in CA

Practice address

11026 Balboa Blvd
Granada Hills, CA 91344

Phone

(818) 363-1211

Fax

(818) 363-4931

NPI assigned

Nov 9, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Youssef a Dabbagh DDS Inc

  • Dental Clinic/Center
  • Lancaster, CA
  • NPI 1962261875
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013087782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11026 BALBOA BLVD",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "91344",
            "telephone_number": "818-363-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11026 BALBOA BLVD",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "91344",
            "telephone_number": "818-363-1211",
            "fax_number": "818-363-4931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABBAGH",
        "first_name": "MUSTAFA",
        "middle_name": "A",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denysse Janet Cruz, DDS
• Jay Cruz Sr., OTR/L
• Julissa Nicole Cruz
• Guesh Cuan, L.AC.
• Christine Cusato, RDHAP
• Youssef Dabbagh
• Rubylynn Domingo Daliva
• Allisa Crystal Daquino, LCSW
• Dara Kimia DMD a Dental Corp
• Samvel Darbinyan

• General Practice Dentistry in Granada Hills, CA
• Providers in Granada Hills, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.