Organization Active NPI

Mina Abdullah DDS Inc

  • Dentist
  • El Cajon, CA
National Provider Identifier
1295293645
Registry record updated Mar 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MINA ABDULLAH DDS INC
Practice address
767 Jamacha Rd
El Cajon, CA 92019-3202
Phone
(619) 401-3214
NPI assigned
Mar 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2019

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

Authorized official

Name
Mina Abdullah, DDSNPI 1710393327
Title
President
Phone
(619) 767-8039

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

767 Jamacha Rd
El Cajon, CA 92019-3202

Mailing address

767 Jamacha Rd
El Cajon, CA 92019-3202

National Provider Directory

National Provider Directory

Locations

767 Jamacha Rd
El Cajon, CA 92019
Phone (619) 401-3214

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551744000000",
    "number": "1295293645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "767 JAMACHA RD",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920193202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 JAMACHA RD",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920193202",
            "telephone_number": "619-401-3214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINA ABDULLAH DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-05",
        "last_updated": "2019-03-05",
        "status": "A",
        "authorized_official_last_name": "ABDULLAH",
        "authorized_official_first_name": "MINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-767-8039",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; 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.