Anmar Obaidi, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

56455 Issued in CA

Practice address

657 Camino de Los Mares
Suite 138
San Clemente, CA 92673-2826

Phone

(949) 487-6780

Fax

(949) 487-6781

NPI assigned

Oct 22, 2008

Sex

Male

Sole proprietor

No

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

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

Practice roles

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.

• Dr Carla Bryan DDS

  • Dentist
  • San Clemente, CA
  • NPI 1205176468
  NPD (past)

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425427200000",
    "number": "1255583126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27685 MANOR HILL RD",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926776045",
            "telephone_number": "949-683-3326",
            "fax_number": "949-487-6781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 CAMINO DE LOS MARES",
            "address_2": "SUITE 138",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732826",
            "telephone_number": "949-487-6780",
            "fax_number": "949-487-6781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBAIDI",
        "first_name": "ANMAR",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-22",
        "last_updated": "2015-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rowell Nueva, OTR
• Jennifer Lafferty O'Connor, PH.D.
• Sara Jett O'Connor, M.S. CCC-SLP
• Alison Eileen O'Leary
• Obaidi Dental Corporation
• Oc Couple and Family Therapy
• Ocean Breeze Medical Group, Inc.
• Ocean Physical Therapy, Inc.
• Oceans Luxury Rehab
• Rachel Anne Okonski, P.T.

• General Practice Dentistry in San Clemente, CA
• Providers in San Clemente, 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 Mar 4, 2015; 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.