Haitham H Elgendi, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

46787 Issued in CA

Practice address

824 S Alvarado St
Los Angeles, CA 90057-4010

Phone

(213) 252-1700

Fax

(213) 252-8108

NPI assigned

Feb 17, 2006

Sex

Male

Sole proprietor

No

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Elgendi DDS Corporation

  • Dental Clinic/Center
  • Norco, CA
  • NPI 1437897501
  NPD Authorized official
• Haitham Elgendi DDS Inc

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1942275128
  NPD (past) Authorized official
• Elgendi Dental Corporation

  • Dental Clinic/Center
  • La Puente, CA
  • NPI 1326612607
  NPD
• Dr. Song 8TH and Alvarado Family Dental Group

  • Dentist
  • Los Angeles, CA
  • NPI 1497099725
  NPD (past)

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1720053325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 S ALVARADO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900574010",
            "telephone_number": "213-252-1700",
            "fax_number": "213-252-8108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 S ALVARADO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900574010",
            "telephone_number": "213-252-1700",
            "fax_number": "213-252-8108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELGENDI",
        "first_name": "HAITHAM",
        "middle_name": "H",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "46787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elevatelife Therapy & Consulting, Licensed Clinical Social Worker, Inc
• Elevation Medical Group Inc
• Eleve Concierge Wellness, a Professioinal Nursing Corporation
• Megan Eley
• Candace Eve Elgart, M.A. CCC SLP
• Roxanna Camelia Elghanayan, CCC-SLP
• Kristine A Elgin, LMFT
• Monica Elgin
• Ludmilla Elgourt, M.D.
• Elgrichi Harouni Dental Corp

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.