Mina Girgis, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

100626 Issued in CA

Practice address

17802 Clark Ave
Bellflower, CA 90706-6505

Phone

(562) 925-8338

NPI assigned

May 15, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mina Girgis DDS, Inc

  • Dental Clinic/Center
  • Bellflower, CA
  • NPI 1669959284
  NPD Authorized official
• M. Zakhary DDS, Inc.

  • General Practice Dentistry
  • Costa Mesa, CA
  • NPI 1689068884
  NPD (past)

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

{
    "created_epoch": "1431648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1194103671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17802 CLARK AVE",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907066505",
            "telephone_number": "562-925-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17802 CLARK AVE",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907066505",
            "telephone_number": "562-925-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRGIS",
        "first_name": "MINA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-15",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "100626",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "100626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669959284",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ghassan Issaaf Gholmieh, MD
• Mei Mei Giang, CRNA
• Ronda Lee Gilbert
• Marlene J Gillan, NP
• Heather Dawn Gillies
• Michelle Glancy
• Hannah Gleim, M.A. CLINICAL PSYCH
• Glenn T. Hifumi, M.D.
• Maylene M. Glidewell, MD
• Casandra Nicole Glover

• Dentist in Bellflower, CA
• Providers in Bellflower, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.