Individual provider Active NPI

Joseph Zeidan, DMD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • La Jolla, CA
National Provider Identifier
1497065775
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
59518 Issued in CA
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

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
92-0915896OtherCAEINS

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
I20241223002881 CA Practitioner - Oral Surgery 0749562254 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN23517FLMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency and Acute Care Medical Corporation CurrentSince Feb 1, 2025 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
J Zeidan, DMD Inc. CurrentSince Jun 11, 2023 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.