Active NPI
Jasmine Elkebir, RDHAP
- Dental Hygienist
- Rancho Cucamonga, CA
National Provider Identifier
1023891694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 1013
- Practice address
- 5683 W Overlook Dr
Rancho Cucamonga, CA 91739-2381 - Phone
- (949) 339-3468
- NPI assigned
- Aug 16, 2023
- Last updated
- Aug 16, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 1013 | CA | Primary |
Addresses
Primary practice location
5683 W Overlook Dr
Rancho Cucamonga, CA 91739-2381
Mailing address
23535 Palomino Dr Ste 391
Diamond Bar, CA 91765-1626
Phone (949) 339-3468
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1013 | CA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692144000000",
"number": "1023891694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23535 PALOMINO DR STE 391",
"city": "DIAMOND BAR",
"state": "CA",
"postal_code": "917651626",
"telephone_number": "949-339-3468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5683 W OVERLOOK DR",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917392381",
"telephone_number": "949-339-3468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELKEBIR",
"first_name": "JASMINE",
"credential": "RDHAP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-16",
"last_updated": "2023-08-16",
"certification_date": "2023-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "1013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.