Individual provider Active NPI

Gamal T.F Tewfik Sr., T.F

  • General Practice Dentistry
  • Cypress, CA
National Provider Identifier
1396954681
Registry record updated Mar 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
55680 Issued in CA
Practice address
6334 Lincoln Ave
Cypress, CA 90630-5811
Phone
(714) 501-1958
NPI assigned
May 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 55680 CA
General Practice Dentistry 1223G0001X 55680 CA Primary

Addresses

Primary practice location

6334 Lincoln Ave
Cypress, CA 90630-5811

Mailing address

6334 Lincoln Ave
Cypress, CA 90630-5811
Phone (714) 501-1958

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200617000830 CA Practitioner - Oral Surgery 5496051609

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
55680CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Gamal Tewfik, DDS, Inc. General Practice CurrentSince Mar 13, 2020 Accepting new patients

Locations

6334 Lincoln Ave
Cypress, CA 90630
Phone (310) 507-7984

Interoperability endpoints

  • Direct secure messaging: gtewfik@direct.westerndental.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299024000000",
    "number": "1396954681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6334 LINCOLN AVE",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906305811",
            "telephone_number": "714-501-1958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6334 LINCOLN AVE",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906305811",
            "telephone_number": "714-501-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEWFIK",
        "first_name": "GAMAL",
        "middle_name": "T.F",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "T.F",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2011-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "55680",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, CA

Sources for this page

Verify at the official NPI Registry.