Organization Active NPI

Wael H Obeid DDS Inc

  • Dental Clinic/Center
  • San Fernando, CA
National Provider Identifier
1669798120
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
55663 Issued in CA
Legal business name
WAEL H OBEID DDS INC
Practice address
527 N Maclay Ave
San Fernando, CA 91340-2424
Phone
(818) 890-2600
Fax
(818) 890-2608
NPI assigned
Apr 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2020

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

Authorized official

Name
Dr. Wael H Obeid, DDSNPI 1841498607
Title
Dentist
Phone
(323) 646-3301

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 55663 CA Primary

Addresses

Primary practice location

527 N Maclay Ave
San Fernando, CA 91340-2424

Mailing address

527 N Maclay Ave
San Fernando, CA 91340-2424
Phone (818) 890-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140703001738 CA Part B Supplier - Clinic/Group Practice 9234354358 Receives reassigned benefits from 1 practitioner
Practice locations: San Fernando, CA

National Provider Directory

National Provider Directory

Locations

13711 Van Nuys Blvd
Ste 3
Pacoima, CA 91331
Phone (818) 890-2600

527 N Maclay Ave
San Fernando, CA 91340
Phone (818) 890-2600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589500800000",
    "number": "1669798120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 N MACLAY AVE",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913402424",
            "telephone_number": "818-890-2600",
            "fax_number": "818-890-2608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 N MACLAY AVE",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913402424",
            "telephone_number": "818-890-2600",
            "fax_number": "818-890-2608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAEL H OBEID DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-08",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A",
        "authorized_official_last_name": "OBEID",
        "authorized_official_first_name": "WAEL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "323-646-3301",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "55663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Fernando, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.