Organization Active NPI

Feriel El Ghaoui DDS Inc.

  • Dentist
  • Pinole, CA
National Provider Identifier
1508172305
Registry record updated Aug 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
53988 Issued in CA
Legal business name
FERIEL EL GHAOUI DDS INC.
Practice address
1500 Tara Hills Dr.
#104
Pinole, CA 94564
Phone
(510) 724-7474
Fax
(510) 724-7921
NPI assigned
Aug 31, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2010

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

Authorized official

Name
Janet Banducci
Title
Office MGR.
Phone
(510) 724-7474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 53988 CA Primary

Addresses

Primary practice location

1500 Tara Hills Dr.
#104
Pinole, CA 94564

Mailing address

1500 Tara Hills Dr.
#104
Pinole, CA 94564
Phone (510) 724-7474

National Provider Directory

National Provider Directory

Locations

1500 Tara Hills Dr
Ste 104
Pinole, CA 94564
Phone (510) 724-7474

NPI Registry JSON

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

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283212800000",
    "number": "1508172305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 TARA HILLS DR.",
            "address_2": "#104",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "94564",
            "telephone_number": "510-724-7474",
            "fax_number": "510-724-7921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 TARA HILLS DR.",
            "address_2": "#104",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "94564",
            "telephone_number": "510-724-7474",
            "fax_number": "510-724-7921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERIEL EL GHAOUI DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-31",
        "last_updated": "2010-08-31",
        "status": "A",
        "authorized_official_last_name": "BANDUCCI",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "OFFICE MGR.",
        "authorized_official_telephone_number": "510-724-7474"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "53988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinole, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; 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.