Sami Elhaj, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

46786 Issued in CA

Practice address

69160 Ramon Rd. Ste. 100
Cathedral City, CA 92234

Phone

(760) 969-5469

NPI assigned

Jun 6, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Western Dental Services, Inc.

  • General Practice Dentistry
  • Cathedral City, CA
  • NPI 1629115704
  NPD (past)

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275736407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 VIA PESCADERO",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925572741",
            "telephone_number": "951-247-1968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69160 RAMON RD. STE. 100",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "92234",
            "telephone_number": "760-969-5469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELHAJ",
        "first_name": "SAMI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "46786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eisenhower Medical Center (Eisenhower)
• Eisenhower Medical Center (Eisenhower Health)
• Eisenhower Medical Center (Eisenhower Health)
• El Desert Ride
• Alan D Eldridge, DPT
• Donna Ellamil-Lejarde, PA
• Danielle Lynnette Ellington
• Kaycie Lynn Elsass
• Elvia Juarez a Dental Corporation (EJ Dental Practice of Dr. Elvia Juarez DDS)
• Embrace Beauty Bar LLC (Embrace beauty by Monet)

• General Practice Dentistry in Cathedral City, CA
• Providers in Cathedral City, 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 Jul 8, 2007; 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.