Active NPI
Youssef Guindy
- Dentist
- Santa Ana, CA
National Provider Identifier
1730368267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 56297
- Practice address
- 2701 W 1St St
Santa Ana, CA 92703-3443 - Phone
- (714) 973-2022
- Fax
- (714) 835-6954
- NPI assigned
- Nov 1, 2007
- Last updated
- Jun 3, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 56297 | CA | Primary |
Addresses
Primary practice location
2701 W 1St St
Santa Ana, CA 92703-3443
Mailing address
17115 Chatsworth St
#101
Granada Hills, CA 91344-5798
Phone (818) 585-0084
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D56297 | Medicaid | CA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56297 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ya Guindy Dental Corporation | Current | Accepting new patients | |
| Western Dental Services, Inc. | Past | Accepting new patients |
Locations
18525 Roscoe Blvd
Northridge, CA 91324
Phone (818) 294-4490
Interoperability endpoints
- yguindy@direct.westerndental.com
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.
-
dba YA Family Dental Office of Dr. Guindy
- Dental Clinic/Center
- Northridge, CA
- NPI 1922464296
-
- General Practice Dentistry
- Santa Ana, CA
- NPI 1275694689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243987200000",
"number": "1730368267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17115 CHATSWORTH ST",
"address_2": "#101",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "913445798",
"telephone_number": "818-585-0084",
"fax_number": "714-571-3560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 W 1ST ST",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927033443",
"telephone_number": "714-973-2022",
"fax_number": "714-835-6954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUINDY",
"first_name": "YOUSSEF",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-01",
"last_updated": "2009-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "56297",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D56297",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.