Active NPI
Emad Nabil Georgy
- Dentist
- Norco, CA
National Provider Identifier
1295447290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 108424
- Practice address
- 2440 River Rd Ste 140
Norco, CA 92860-2402 - Phone
- (951) 325-6111
- NPI assigned
- Dec 21, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 108424 | CA | Primary |
Addresses
Primary practice location
2440 River Rd Ste 140
Norco, CA 92860-2402
Mailing address
6770 Pats Ranch Rd Unit 16204
Jurupa Valley, CA 91752-4493
Phone (415) 867-8958
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
| License | State | Type | Specialty |
|---|---|---|---|
| 108424 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omega Dental of Georgy DDS Inc. | Current | Accepting new patients |
Locations
25285 Madison Ave
Ste 107
Murrieta, CA 92562
Phone (951) 698-3585
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Murrieta, CA
- NPI 1871473355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672963200000",
"number": "1295447290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6770 PATS RANCH RD UNIT 16204",
"city": "JURUPA VALLEY",
"state": "CA",
"postal_code": "917524493",
"telephone_number": "415-867-8958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2440 RIVER RD STE 140",
"city": "NORCO",
"state": "CA",
"postal_code": "928602402",
"telephone_number": "951-325-6111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGY",
"first_name": "EMAD",
"middle_name": "NABIL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-12-21",
"last_updated": "2023-01-06",
"certification_date": "2023-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "108424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.