Individual provider Active NPI

Aya Aly Elbeblawy

  • Dentist
  • Sunnyvale, CA
National Provider Identifier
1285816900
Registry record updated Aug 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
56301 Issued in CA
Practice address
880 E Fremont Ave Apt 613
Sunnyvale, CA 94087-3645
Phone
(408) 830-9330
NPI assigned
Dec 5, 2007
Last updated
Aug 1, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 56301 CA Primary

Addresses

Primary practice location

880 E Fremont Ave Apt 613
Sunnyvale, CA 94087-3645

Mailing address

880 E Fremont Ave Apt 613
Sunnyvale, CA 94087-3645
Phone (408) 830-9330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
56301CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217548800000",
    "number": "1285816900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 E FREMONT AVE APT 613",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940873645",
            "telephone_number": "408-830-9330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 E FREMONT AVE APT 613",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940873645",
            "telephone_number": "408-830-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELBEBLAWY",
        "first_name": "AYA",
        "middle_name": "ALY",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-05",
        "last_updated": "2008-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "56301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; 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.