Active NPI
Joseph Zeidan, DMD
- Oral & Maxillofacial Surgery (D.M.D.)
- La Jolla, CA
National Provider Identifier
1497065775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- 59518
- Practice address
- 8950 Villa la Jolla Dr Ste A128
La Jolla, CA 92037-1709 - Phone
- (858) 452-8606
- Fax
- (858) 452-3610
- NPI assigned
- Oct 20, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DN23517 | FL | |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | DN23517 | FL | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 59518 | CA | |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 59518 | CA | Primary |
Addresses
Primary practice location
8950 Villa la Jolla Dr Ste A128
La Jolla, CA 92037-1709
Mailing address
8950 Villa la Jolla Dr Ste A128
La Jolla, CA 92037-1709
Phone (858) 452-8606
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 92-0915896 | Other | CA | EINS |
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 |
|---|---|---|---|---|
| I20241223002881 | CA | Practitioner - Oral Surgery | 0749562254 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN23517 | FL | MD | Oral & Maxillofacial Surgery (D.M.D.) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency and Acute Care Medical Corporation | Current | Accepting new patients | |
| Orlando Health, Inc. | Current | Accepting new patients | |
| J Zeidan, DMD Inc. | Current | Accepting new patients |
Locations
8950 Villa La Jolla Dr
Ste A128
La Jolla, CA 92037
Phone (858) 452-8606
12396 World Trade Dr
Ste 303
San Diego, CA 92128
Phone (904) 614-5857
7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400
Interoperability endpoints
- jzeidan179068@orlandohealth.medalliesdirect.net
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1437103942
CA
-
- Oral and Maxillofacial Surgery Clinic/Center
- La Jolla, CA
- NPI 1306530951
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758499200000",
"number": "1497065775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8950 VILLA LA JOLLA DR STE A128",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920371709",
"telephone_number": "858-452-8606",
"fax_number": "858-452-3610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8950 VILLA LA JOLLA DR STE A128",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920371709",
"telephone_number": "858-452-8606",
"fax_number": "858-452-3610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZEIDAN",
"first_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-20",
"last_updated": "2025-09-22",
"certification_date": "2025-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "FL",
"license": "DN23517",
"primary": false
},
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "FL",
"license": "DN23517",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "CA",
"license": "59518",
"primary": false
},
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "CA",
"license": "59518",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EINS",
"identifier": "92-0915896",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.