Elya Bach, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS109140 Issued in CA

Practice address

9331 Mission Gorge Rd
Santee, CA 92071-3882

Phone

(619) 448-2158

NPI assigned

Sep 12, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1548047772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4402 EMERALD ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905033033",
            "telephone_number": "310-489-1946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9331 MISSION GORGE RD",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920713882",
            "telephone_number": "619-448-2158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACH",
        "first_name": "ELYA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-12",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS109140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamantha Sue Arlata, M.D.
• Asap Medical Supply
• Asap Medical Supply, LLC
• Nick Mitchell Ashton, RN
• Jennifer Kiss Avila, M.D.
• Savanna Marie Baggett
• James Yong-Hyun Baik, D.D.S.
• Katie Ballin, D.O.
• Barbara Jean Boutelle Carlsbad Physical Therapy
• Austin Barbeau, DPT

• General Practice Dentistry in Santee, CA
• Providers in Santee, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.

Verify at the official NPI Registry.