Marlize Atallah Ayoub, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

57890 Issued in CA

Practice address

8201 Newman Ave Ste 302
Huntington Beach, CA 92647-7058

Phone

(714) 848-0910

Fax

(714) 847-3900

NPI assigned

Apr 16, 2007

Last updated

Aug 18, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Marlize Atallah Professional 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

Locations

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

• Marlize Atallah Ayoub DDS Inc.

  • Dental Clinic/Center
  • Huntington Beach, CA
  • NPI 1881005023
  Medicare reassignment NPD Authorized official
• Robby T Ayoub MD Prof Medical Corp

  • Internal Medicine Physician
  • Huntington Beach, CA
  • NPI 1073755476
  NPD (past)

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1063637700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 NEWMAN AVE STE 302",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926477058",
            "telephone_number": "714-848-0910",
            "fax_number": "714-847-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 NEWMAN AVE STE 302",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926477058",
            "telephone_number": "714-848-0910",
            "fax_number": "714-847-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8201 Newman Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926477043",
            "country_code": "US",
            "telephone_number": "714-848-0910",
            "fax_number": "714-847-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYOUB",
        "first_name": "MARLIZE",
        "middle_name": "ATALLAH",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "57890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARLIZE",
            "last_name": "ATALLAH",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Peter Nabile Awad
• Axiom Rehabilitation (New Life Home Health Services)
• Abigail Q Ayala
• Monica Ayala
• Ayoub Dental Corporation
• Robby Tony Ayoub, MD
• Wissam Ayoub, DDS
• Morgan Ayres
• Tyler Ayres
• John Baars, D.C.

• Dentist in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.