Louie Al-Faraje, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

42265 Issued in CA

Practice address

4710 Ruffner St
Ste. B
San Diego, CA 92111-1530

Phone

(858) 496-0574

Fax

(858) 560-1743

NPI assigned

Dec 11, 2012

Last updated

Dec 11, 2012By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1355184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355184000000",
    "number": "1659616050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 RUFFNER ST",
            "address_2": "STE. B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111530",
            "telephone_number": "858-496-0574",
            "fax_number": "858-560-1743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 RUFFNER ST",
            "address_2": "STE. B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111530",
            "telephone_number": "858-496-0574",
            "fax_number": "858-560-1743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-FARAJE",
        "first_name": "LOUIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-11",
        "last_updated": "2012-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "42265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ousama Al-Agha, PHARM D
• Rania Al-Ansari, PHARMD
• Nassir Al-Bahsan
• Zainab Al-Basam
• Jaafar Al-Dahwi, MD
• Fulla Falah Al-Fawadi
• Eaman Adnan Al-Hassan, MD
• Christine Noel Al-Khouri, D.D.S
• Lana Tahsin Al-Omar, PHARMD
• Harier Al-Rifaie

• Dentist in San Diego, CA
• Providers in San Diego, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; 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.