Omid Jonathan Elie, DDS
Individual provider Active NPI Dentist · Foster City, CA
NPI 1649995655 · NPPES record last updated Dec 8, 2025
Key facts
- NPI
- 1649995655
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 108202 (CA)
- Practice address
- 1289 E Hillsdale Blvd Ste 3
Foster City, CA 94404-1219 - Phone
- (650) 572-8518
- Fax
- (650) 572-8582
- NPI assigned
- Oct 12, 2022
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108202 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elie DDS Inc | Current |
Accepting new patients |
Locations
1289 E Hillsdale Blvd
Ste 3
Foster City, CA 94404
Phone (650) 572-8518
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 108202 | CA | Yes |
Addresses
Primary practice location
1289 E Hillsdale Blvd Ste 3
Foster City, CA 94404-1219
Mailing address
148 Flying Mist Isle
Foster City, CA 94404-1402
Phone (650) 573-5670
Other providers in Foster City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.