Active NPI
Elhameh Allamehzadeh DDS, Inc.
- General Practice Dentistry
- San Diego, CA
National Provider Identifier
1083932750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 47441
- Legal business name
- ELHAMEH ALLAMEHZADEH DDS, INC.
- Practice address
- 2020 Camino del Rio N
Suite 101
San Diego, CA 92108-1541 - Phone
- (858) 342-8881
- NPI assigned
- May 5, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elhameh Allamehzadeh, DDS
- Title
- Owner/Dentist
- Phone
- (858) 342-6607
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 47441 | CA | Primary |
Addresses
Primary practice location
2020 Camino del Rio N
Suite 101
San Diego, CA 92108-1541
Mailing address
2020 Camino del Rio N
Suite 101
San Diego, CA 92108-1541
Phone (858) 342-8881
Other names 1
- Dr. Ellie's Gentle Dental
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273017600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1273017600000",
"number": "1083932750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 CAMINO DEL RIO N",
"address_2": "SUITE 101",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921081541",
"telephone_number": "858-342-8881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 CAMINO DEL RIO N",
"address_2": "SUITE 101",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921081541",
"telephone_number": "858-342-8881"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELHAMEH ALLAMEHZADEH DDS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-05",
"last_updated": "2010-05-05",
"status": "A",
"authorized_official_last_name": "ALLAMEHZADEH",
"authorized_official_first_name": "ELHAMEH",
"authorized_official_title_or_position": "OWNER/DENTIST",
"authorized_official_telephone_number": "858-342-6607",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "47441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dr. Ellie's Gentle Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.