NPIMap

Organization Active NPI

Husam Elias MD DMD Inc

  • Medical Specialty Clinic/Center
  • Sherman Oaks, CA
National Provider Identifier
1104299833
Registry record updated Nov 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
A113977 Issued in CA
Legal business name
HUSAM ELIAS MD DMD INC
Practice address
4910 Van Nuys Blvd
Suite 102
Sherman Oaks, CA 91403-1715
Phone
(818) 789-6622
NPI assigned
Nov 3, 2015
Last updated
Nov 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2015

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

Authorized official

Name
Husam Elias, MD DMD FACSNPI 1053432054
Title
President
Phone
(818) 789-6622

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X A113977 CA Primary

Addresses

Primary practice location

4910 Van Nuys Blvd
Suite 102
Sherman Oaks, CA 91403-1715

Mailing address

4910 Van Nuys Blvd
Suite 102
Sherman Oaks, CA 91403-1715
Phone (818) 789-6622

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446508800000",
    "number": "1104299833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 VAN NUYS BLVD",
            "address_2": "SUITE 102",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031715",
            "telephone_number": "818-789-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 VAN NUYS BLVD",
            "address_2": "SUITE 102",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031715",
            "telephone_number": "818-789-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUSAM ELIAS MD DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-03",
        "last_updated": "2015-11-03",
        "status": "A",
        "authorized_official_last_name": "ELIAS",
        "authorized_official_first_name": "HUSAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-789-6622",
        "authorized_official_credential": "MD DMD FACS"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A113977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; 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.