Fadi Elia

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

105073 Issued in CA

Practice address

2907 Jamacha Rd Ste B
El Cajon, CA 92019-4342

Phone

(619) 660-2424

NPI assigned

Jul 24, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1235748336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3185 RIO WAY",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919772861",
            "telephone_number": "619-733-8278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2907 JAMACHA RD STE B",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920194342",
            "telephone_number": "619-660-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIA",
        "first_name": "FADI",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-24",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "105073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elahe Toulouie MD Inc
• Ronak Elda
• Eldorado Care Center LP
• Sarah Hamed Elfeky, M.D.
• Nour Moataz Elgezawi, ACSW
• Zeyad Elia
• Yana Eliseev
• Olivia Ellegaard
• Kevin Ellis, D.O
• Robert Brian Ellison

• General Practice Dentistry in El Cajon, CA
• Providers in El Cajon, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.