Clifford Gee, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

108943 Issued in CA

Practice address

1975 Garnet Ave Ste E
San Diego, CA 92109-3594

Phone

(858) 866-0808

NPI assigned

Jul 31, 2023

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

Other names 1

• Syed Raheem Azam Former name

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Minh B Pham Dental Corporation

  dba PB Smiles Dentistry Dental Group

  • Dentist
  • San Diego, CA
  • NPI 1558778662
  NPD (past)
• Minh Pham Dental Corporation

  dba La Jolla Village Smiles Dentistry and Implants

  • General Practice Dentistry
  • La Jolla, CA
  • NPI 1588092969
  NPD (past)

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1033890199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8720 ARIVA CT APT 424",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232287",
            "telephone_number": "916-295-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 GARNET AVE STE E",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921093594",
            "telephone_number": "858-866-0808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8657 Villa La Jolla Dr Ste 211",
            "address_purpose": "LOCATION",
            "city": "LA Jolla",
            "state": "CA",
            "postal_code": "920378309",
            "country_code": "US",
            "telephone_number": "858-272-2260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEE",
        "first_name": "CLIFFORD",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "108943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SYED",
            "last_name": "AZAM",
            "middle_name": "RAHEEM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Luel H Gebremeskel
• Nashwa Noel Gebri
• Madalyn Kristine Geddie
• Pamela Geddis, M.D.
• Bertha Mei Gee-Lew, M.D.
• Katherine Michelle Gee, PHARMD
• Nicole Devona Gee
• Alexandra Geer, RD
• Theodore G. Geer, MD
• Anna Geers

• Dentist in San Diego, CA
• Providers in San Diego, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.