Individual provider Active NPI

Namir Faisal Damluji

  • Psychiatry Physician
  • Encinitas, CA
National Provider Identifier
1124116793
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A36511 Issued in CA
Practice address
326 Encinitas Blvd Suite 150
Encinitas, CA 92024-8708
Phone
(760) 944-0200
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A36511 CA Primary

Addresses

Primary practice location

326 Encinitas Blvd Suite 150
Encinitas, CA 92024-8708

Mailing address

326 Encinitas Blvd
Encinitas, CA 92024-8708
Phone (760) 944-0200

Other identifiers 1

IdentifierTypeStateIssuer
A36511OtherCAMEDICAL STATE LICENSE

Other names 1

  • Namir Faisal Damluji Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 26, 2020 through Jul 26, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124116793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 ENCINITAS BLVD",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920248708",
            "telephone_number": "760-944-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 ENCINITAS BLVD SUITE 150",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920248708",
            "telephone_number": "760-944-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMLUJI",
        "first_name": "NAMIR",
        "middle_name": "FAISAL",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A36511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL STATE LICENSE",
            "identifier": "A36511",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NAMIR",
            "last_name": "DAMLUJI",
            "middle_name": "FAISAL",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Encinitas, CA

Sources for this page

Verify at the official NPI Registry.