Nashwa Noel Gebri

Primary specialty

DentistTaxonomy code 122300000X

License

55696 Issued in CA

Practice address

4060 Fairmount Ave
San Diego, CA 92105-1608

Phone

(619) 328-1335

Fax

(619) 328-1336

NPI assigned

Aug 31, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• La Maestra Family Clinic Inc.

  • Dental Clinic/Center
  • El Cajon, CA
  • NPI 1053430710
  NPD (past)
• La Maestra Family Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • El Cajon, CA
  • NPI 1962133348
  NPD (past)

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1265626329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1247 JAMACHA RD",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920193662",
            "telephone_number": "800-417-4444",
            "fax_number": "714-571-3560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 FAIRMOUNT AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921051608",
            "telephone_number": "619-328-1335",
            "fax_number": "619-328-1336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEBRI",
        "first_name": "NASHWA",
        "middle_name": "NOEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-31",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "55696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D55696",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kendra Gebhart
• Kibrom Ogbai Gebregziabher, LMFT
• Binyam Gebregziaber Gebrehiwot I
• Selam Habte Gebrekristos
• Luel H Gebremeskel
• Madalyn Kristine Geddie
• Pamela Geddis, M.D.
• Bertha Mei Gee-Lew, M.D.
• Clifford Gee, DMD
• Katherine Michelle Gee, PHARMD

• Dentist in San Diego, CA
• Providers in San Diego, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.