Leila Hamraz, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

64585 Issued in CA

Practice address

3855 Elijah CT
Unit 738
San Diego, CA 92130-6000

Phone

(858) 210-5065

NPI assigned

Aug 26, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440547200000",
    "number": "1316314263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3855 ELIJAH CT",
            "address_2": "UNIT 738",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921306000",
            "telephone_number": "858-210-5065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 ELIJAH CT",
            "address_2": "UNIT 738",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921306000",
            "telephone_number": "858-210-5065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMRAZ",
        "first_name": "LEILA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-26",
        "last_updated": "2015-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "64585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64585",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Destiny Denotra Janae Hampton
• Jessica Hampton, OTD, OTR/L
• Shari Lynn Hampton
• Suzanne Hampton, LMFT
• Kambiz Hamrang, M.D.
• Megan Hamreus, DO
• Jennifer Lorayne Hamrick, M.D.
• Justin Thames Hamrick, M.D.
• Hamsa Healing Space, a Professional Clinical Counseling Corporation
• Kristin Hamstrom

• Dentist in San Diego, CA
• Providers in San Diego, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; 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.

Verify at the official NPI Registry.