George Damerji

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

102032 Issued in CA

Practice address

4620 Convoy St Ste F
San Diego, CA 92111-2328

Phone

(858) 573-1105

Fax

(858) 573-1107

NPI assigned

Jun 9, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Damerji Dental Corporation

  • Dental Clinic/Center
  • San Diego, CA
  • NPI 1023784469
  NPD Authorized official
• Damerji National Dental Corporation

  • Dental Clinic/Center
  • El Cajon, CA
  • NPI 1285353862
  NPD Authorized official
• 1St Family Dental of Lincoln

  • Dentist
  • Chicago, IL
  • NPI 1740464874
  NPD (past)
• Obeid Dental Inc

  • Dentist
  • Chicago, IL
  • NPI 1831435130
  NPD (past)

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

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1780904144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4620 CONVOY ST STE F",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921112328",
            "telephone_number": "858-573-1105",
            "fax_number": "858-573-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 CONVOY ST STE F",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921112328",
            "telephone_number": "858-573-1105",
            "fax_number": "858-573-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMERJI",
        "first_name": "GEORGE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-09",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-028287",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "102032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Dambacher
• Jane Dambra, RBT
• Howard Parker Dambrose
• Christian Jordan Dameff, M.D.
• Damerji Dental Corporation
• Diane Katherine Dameron, LMFT
• Jasmine Damian
• Joshua Kaleb Damian
• Lucia Damian, AMFT #137820
• Damion J Valletta DO Professional Corporation

• All providers in San Diego, CA
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; 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.