Active NPI
Nahia Dib El Jalbout, MD
- Ophthalmic Plastic and Reconstructive Surgery Physician
- La Jolla, CA
National Provider Identifier
1699506469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmic Plastic and Reconstructive Surgery Physician
- License
- SPI841
- Practice address
- 9415 Campus Point Dr
La Jolla, CA 92093-1350 - Phone
- (858) 214-9246
- Fax
- (858) 246-0424
- NPI assigned
- Aug 12, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmic Plastic and Reconstructive Surgery Physician | 207WX0200X | SPI841 | CA | Primary |
Addresses
Primary practice location
9415 Campus Point Dr
La Jolla, CA 92093-1350
Mailing address
3187 Via Alicante Unit 253
La Jolla, CA 92037-2467
Phone (858) 214-9246
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SPI841 | CA | MD | Ophthalmic Plastic and Reconstructive Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723420800000",
"number": "1699506469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3187 VIA ALICANTE UNIT 253",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920372467",
"telephone_number": "858-214-9246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9415 CAMPUS POINT DR",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920931350",
"telephone_number": "858-214-9246",
"fax_number": "858-246-0424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIB EL JALBOUT",
"first_name": "NAHIA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-12",
"last_updated": "2024-08-12",
"certification_date": "2024-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207WX0200X",
"taxonomy_group": "",
"desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
"state": "CA",
"license": "SPI841",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.