Active NPI
Elham Elahiyoun
- Dentist
- Oxnard, CA
National Provider Identifier
1295814648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 53701
- Practice address
- 2100 Statham Blvd
Oxnard, CA 93033 - Phone
- (805) 330-8682
- Fax
- (805) 728-1433
- NPI assigned
- Nov 6, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 53701 | CA | Primary |
Addresses
Primary practice location
2100 Statham Blvd
Oxnard, CA 93033
Mailing address
1040 Flynn Rd
Camarillo, CA 93012-5092
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240313003730 | CA | Order and Referring Only - Dentist | 5799121653 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- eelahiyoun803234@direct.ochin.org
- elham.elahiyoun.p1@direct.clinicas.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718236800000",
"number": "1295814648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 FLYNN RD",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930125092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 STATHAM BLVD",
"city": "OXNARD",
"state": "CA",
"postal_code": "93033",
"telephone_number": "805-330-8682",
"fax_number": "805-728-1433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELAHIYOUN",
"first_name": "ELHAM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-06",
"last_updated": "2024-06-13",
"certification_date": "2024-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "53701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oxnard, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.