Individual provider Active NPI

Dalia Jamma, DDS

  • Dentist
  • El Cajon, CA
National Provider Identifier
1508241340
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
64786 Issued in CA
Practice address
2990 Jamacha Rd # 140
El Cajon, CA 92019
Phone
(619) 670-5133
Fax
(619) 670-1492
NPI assigned
Jul 22, 2015
Last updated
Jun 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 64786 CA Primary

Addresses

Primary practice location

2990 Jamacha Rd # 140
El Cajon, CA 92019

Mailing address

2990 Jamacha Rd Ste 140
El Cajon, CA 92019-4387
Phone (619) 670-5133

Other identifiers 1

IdentifierTypeStateIssuer
64786OtherCADENTAL BOARD OF CALIFORNIA

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

State licenses

LicenseStateTypeSpecialty
64786CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Jamma El Cajon Dental, Inc. Current Accepting new patients
Dalia Jamma DDS Inc. Current Accepting new patients
Jamma Dental DDS, Inc. CurrentSince Aug 14, 2022 Accepting new patients
Kerry a. Booth,D.D.S., Inc Dentist Past Accepting new patients

Locations

2990 Jamacha Rd
Ste 140
El Cajon, CA 92019
Phone (619) 670-5133

1919 Grand Ave
Ste 1P
San Diego, CA 92109
Phone (619) 634-5172

Organizations & group practices 4

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": "1437523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1508241340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2990 JAMACHA RD STE 140",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920194387",
            "telephone_number": "619-670-5133",
            "fax_number": "619-670-1492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 JAMACHA RD # 140",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "92019",
            "telephone_number": "619-670-5133",
            "fax_number": "619-670-1492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMMA",
        "first_name": "DALIA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-22",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "64786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL BOARD OF CALIFORNIA",
            "identifier": "64786",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; 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.