Individual provider Active NPI

Joanna El-Maasri, D.M.D.

  • General Practice Dentistry
  • San Marcos, CA
National Provider Identifier
1215360649
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
62740 Issued in CA
Practice address
1 Civic Center Dr
Suite 230
San Marcos, CA 92069-2918
Phone
(760) 798-4178
NPI assigned
Aug 21, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 62740 CA Primary

Addresses

Primary practice location

1 Civic Center Dr
Suite 230
San Marcos, CA 92069-2918

Mailing address

1 Civic Center Dr
Suite 230
San Marcos, CA 92069-2918
Phone (760) 798-4178

Other names 1

  • Joanna El-Maasri Reppas Other name

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150813011572 CA Order and Referring Only - DentistPractitioner - Dentist 3577878974

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
62740CAMDPharmacotherapy Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Reppas & El-Maasri Dental Inc. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1215360649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CIVIC CENTER DR",
            "address_2": "SUITE 230",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920692918",
            "telephone_number": "760-798-4178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CIVIC CENTER DR",
            "address_2": "SUITE 230",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920692918",
            "telephone_number": "760-798-4178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL-MAASRI",
        "first_name": "JOANNA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-21",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "62740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNA",
            "last_name": "REPPAS",
            "middle_name": "EL-MAASRI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Marcos, CA

Sources for this page

Verify at the official NPI Registry.