Individual provider Active NPI

Niloufer Siddiqui Dennis, M.D.

  • Obstetrics & Gynecology Physician
  • El Cajon, CA
National Provider Identifier
1124217690
Registry record updated Feb 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A101524 Issued in CA
Practice address
330 S Magnolia Ave
Suite 301
El Cajon, CA 92020-5290
Phone
(800) 395-9431
Fax
(888) 502-8290
NPI assigned
Oct 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A101524 CA Primary

Addresses

Primary practice location

330 S Magnolia Ave
Suite 301
El Cajon, CA 92020-5290

Mailing address

330 S Magnolia Ave
Suite 301
El Cajon, CA 92020-5290
Phone (800) 395-9431

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080130000169 CA Practitioner - Obstetrics/Gynecology 5395827398 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

240 N Virgil Ave
Unit 12
Los Angeles, CA 90004-5399
Phone (312) 322-2400

330 S Magnolia Ave
Suite 301
El Cajon, CA 92020-5224
Phone (800) 395-9431

Hospital & facility affiliations

  • Grossmont Hospital Hospital, La Mesa, CA, CCN 050026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101524CAMDMarriage & Family Therapist
A101524CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pure Health Center CurrentSince Jun 1, 2025 Accepting new patients
Providence Facey Medical Foundation Past Accepting new patients

Locations

240 N Virgil Ave
Unit 12
Los Angeles, CA 90004
Phone (213) 389-9100

Interoperability endpoints

  • Direct secure messaging: niloufer.dennis.1@11231.direct.athenahealth.com

Organizations & group practices 3

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1124217690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 S MAGNOLIA AVE",
            "address_2": "SUITE 301",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920205290",
            "telephone_number": "800-395-9431",
            "fax_number": "888-502-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 S MAGNOLIA AVE",
            "address_2": "SUITE 301",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920205290",
            "telephone_number": "800-395-9431",
            "fax_number": "888-502-8290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "NILOUFER",
        "middle_name": "SIDDIQUI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-19",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A101524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

Verify at the official NPI Registry.