Individual provider Active NPI

Dima El-Khechen, M.S., C.G.C.

  • Genetic Counselor (M.S.)
  • Aliso Viejo, CA
National Provider Identifier
1396734968
Registry record updated Sep 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetic Counselor (M.S.)Taxonomy code 170300000X
Practice address
15 Argonaut
Aliso Viejo, CA 92656-1423
Phone
(949) 900-5531
Fax
(949) 900-5554
NPI assigned
Oct 17, 2005
Last updated
Sep 9, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Genetic Counselor (M.S.) 170300000X NU Primary

Addresses

Primary practice location

15 Argonaut
Aliso Viejo, CA 92656-1423

Mailing address

15 Argonaut
Aliso Viejo, CA 92656-1423
Phone (949) 900-5531

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Ambry Genetics Corporation Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378684800000",
    "number": "1396734968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ARGONAUT",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926561423",
            "telephone_number": "949-900-5531",
            "fax_number": "949-900-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 ARGONAUT",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926561423",
            "telephone_number": "949-900-5531",
            "fax_number": "949-900-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL-KHECHEN",
        "first_name": "DIMA",
        "name_prefix": "Ms.",
        "credential": "M.S., C.G.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-17",
        "last_updated": "2013-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aliso Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; 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.