Individual provider Active NPI

Hany Attia, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • San Leandro, CA
National Provider Identifier
1740478379
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
56357 Issued in CA
Practice address
433 Estudillo Ave #303
San Leandro, CA 94577-4915
Phone
(510) 969-8286
Fax
(510) 878-2773
NPI assigned
Oct 9, 2007
Reactivated
Oct 11, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 56357 CA Primary

Addresses

Primary practice location

433 Estudillo Ave #303
San Leandro, CA 94577-4915

Mailing address

3867 Ayers Way
San Ramon, CA 94582-5677
Phone (310) 500-7807

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hany Attia, DDS, P.C. Oral and Maxillofacial Surgery CurrentSince Nov 3, 2024 Accepting new patients

Locations

433 Estudillo Ave
Ste 306
San Leandro, CA 94577
Phone (510) 483-1600

433 Estudillo Ave
Ste 303
San Leandro, CA 94577
Phone (510) 638-2900

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1740478379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3867 AYERS WAY",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945825677",
            "telephone_number": "310-500-7807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 ESTUDILLO AVE #303",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774915",
            "telephone_number": "510-969-8286",
            "fax_number": "510-878-2773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATTIA",
        "first_name": "HANY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-09",
        "last_updated": "2024-10-29",
        "deactivation_date": "2024-09-24",
        "reactivation_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "56357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.

Verify at the official NPI Registry.