Individual provider Active NPI

Anas Najm

  • Dentist
  • San Diego, CA
National Provider Identifier
1730578428
Registry record updated Mar 17, 2018
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Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DDS100055 Issued in CA
Practice address
6475 Alvarado Rd Ste 205
San Diego, CA 92120-5013
Phone
(832) 330-1296
NPI assigned
Jan 18, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN.00202426 CO
Dentist 122300000X 6599 NV
Dentist 122300000X DDS100055 CA Primary

Addresses

Primary practice location

6475 Alvarado Rd Ste 205
San Diego, CA 92120-5013

Mailing address

555 Front St Unit 501
San Diego, CA 92101-6774
Phone (832) 330-1296

Other practice location 1

5601 Grossmont Center Dr Ste 200
LA Mesa, CA 91942-3074
Phone (832) 330-1296

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20151117001707 NV Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7719297076

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DDS100055CAMDDentist
DEN.00202426COMDDentist
6599NVMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1421539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1730578428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 FRONT ST UNIT 501",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921016774",
            "telephone_number": "832-330-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6475 ALVARADO RD STE 205",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205013",
            "telephone_number": "832-330-1296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5601 Grossmont Center Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "LA Mesa",
            "state": "CA",
            "postal_code": "919423074",
            "country_code": "US",
            "telephone_number": "832-330-1296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAJM",
        "first_name": "ANAS",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00202426",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "6599",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS100055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.