Individual provider Active NPI

Sarah Gorgees

  • Dentist
  • El Cajon, CA
National Provider Identifier
1699153742
Registry record updated Jun 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
64538 Issued in CA
Practice address
2504 Sawgrass St
El Cajon, CA 92019-4547
Phone
(909) 992-2785
NPI assigned
May 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS039999 PA
Dentist 122300000X 64538 CA Primary

Addresses

Primary practice location

2504 Sawgrass St
El Cajon, CA 92019-4547

Mailing address

2504 Sawgrass St
El Cajon, CA 92019-4547
Phone (909) 992-2785

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160919000723 CA Practitioner - Oral Surgery 1850688920 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS039999PAMDDentist
64538CAMDRecreation Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fulbright Dental Group, PC CurrentSince Aug 1, 2016 Accepting new patients
Lumina Healthcare, LLC PastSince Oct 23, 2022 Accepting new patients

Locations

5220 Pacific Concourse Dr
Ste 120
Los Angeles, CA 90045
Phone (310) 228-0396

1801 W Olympic Blvd
#1738
Pasadena, CA 91199

188 Frank West Cir
Ste G
Stockton, CA 95206
Phone (310) 337-1694

Organizations & group practices 2

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": "1431043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433721600000",
    "number": "1699153742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 SAWGRASS ST",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920194547",
            "telephone_number": "909-992-2785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 SAWGRASS ST",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920194547",
            "telephone_number": "909-992-2785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORGEES",
        "first_name": "SARAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-08",
        "last_updated": "2015-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS039999",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "64538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

Verify at the official NPI Registry.