Individual provider Active NPI

Selma Yousif Younan, DDS

  • General Practice Dentistry
  • El Cajon, CA
National Provider Identifier
1073559464
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
51006 Issued in CA
Practice address
312 Highland Ave
Ste. 102
El Cajon, CA 92020-5218
Phone
(619) 440-0866
Fax
(619) 440-0817
NPI assigned
Jun 22, 2006
Last updated
May 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 51006 CA Primary

Addresses

Primary practice location

312 Highland Ave
Ste. 102
El Cajon, CA 92020-5218

Mailing address

312 Highland Ave
Ste. 102
El Cajon, CA 92020-5218
Phone (619) 440-0866

Other identifiers 2

IdentifierTypeStateIssuer
B51006-01 HFPOtherCADELTA DENTAL OF CALIFORNI
G93428-01OtherCADENTI-CAL

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

LicenseStateTypeSpecialty
51006CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1073559464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 HIGHLAND AVE",
            "address_2": "STE. 102",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920205218",
            "telephone_number": "619-440-0866",
            "fax_number": "619-440-0817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 HIGHLAND AVE",
            "address_2": "STE. 102",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920205218",
            "telephone_number": "619-440-0866",
            "fax_number": "619-440-0817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNAN",
        "first_name": "SELMA",
        "middle_name": "YOUSIF",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "51006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL OF CALIFORNI",
            "identifier": "B51006-01   HFP",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "G93428-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; 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.