Laila M. Elkeeb, MD

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

A85384 Issued in CA

Practice address

20301 SW Birch St
100
Newport Beach, CA 92660-1754

Phone

(949) 251-1502

Fax

(949) 251-1522

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Faculty Physicians and Surgeons of Llusm

  • Orthopaedic Surgery Physician
  • Loma Linda, CA
  • NPI 1275582918
  NPD (past)
• Loma Linda University Physicians Medical Group Inc

  • Internal Medicine Physician
  • Loma Linda, CA
  • NPI 1841230109
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509840000000",
    "number": "1023196649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20301 SW BIRCH ST",
            "address_2": "100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601754",
            "telephone_number": "949-251-1502",
            "fax_number": "949-251-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20301 SW BIRCH ST",
            "address_2": "100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601754",
            "telephone_number": "949-251-1502",
            "fax_number": "949-251-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELKEEB",
        "first_name": "LAILA",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2017-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "CA",
            "license": "A85384",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A85384",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "A85384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A853840",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elite Physicians Group PC
• Elite Surgical
• Eliza-Jasmine Tran, MD Inc.
• Elizabeth Pusey MD Inc
• Julia A Elizondo, PT, OCS
• Jordan Dulay Ellfeldt, OD
• Carrie Susanne Ellis, AGACNP
• Kristen Ellis, RDN
• Zackry Calvin Ellis, PA-C
• Christopher Lee Ellstrom, MD

• Procedural Dermatology Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Procedural Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.