Elsherif DDS a Professional Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

47883 Issued in CA

Legal business name

ELSHERIF DDS A PROFESSIONAL CORPORATION

Doing business as

Cypress Dental

Practice address

4550 N Lark Ellen Ave
Suite # 104
Covina, CA 91722-3147

Phone

(626) 331-8041

Fax

(626) 331-4082

NPI assigned

Mar 17, 2009

Last updated

May 8, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ismail Elsherif, DDSNPI 1396800173

Title

President

Phone

(626) 331-8041

Specialties & licenses 1

Addresses

Other names 1

• Cypress Dental Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ismail Ibrahim Elsherif, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Covina, CA
  • NPI 1396800173
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1790926012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 N LARK ELLEN AVE",
            "address_2": "SUITE # 104",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917223147",
            "telephone_number": "626-331-8041",
            "fax_number": "626-331-4082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 N LARK ELLEN AVE",
            "address_2": "SUITE # 104",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917223147",
            "telephone_number": "626-331-8041",
            "fax_number": "626-331-4082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELSHERIF DDS A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-17",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "ELSHERIF",
        "authorized_official_first_name": "ISMAIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-331-8041",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "47883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cypress Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adrian Gabriel Elicegui
• Elite Manor Inc.
• Elite Manor Inc.
• Elsa Elizalde, BA
• Hassan Ali Elreda
• Ismail Ibrahim Elsherif, D.D.S.
• Emanate Health Ipa
• Emanate Health Medical Center (Emanate Health Inter-Community Hospital)
• Emanate Health Medical Center (Emanate Health Inter-Community Hospital)
• Emanate Health Medical Center (Citrus Valley Medical Center InterCommunity Skilled Nursing Facility)

• Dental Clinic/Center in Covina, CA
• Providers in Covina, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.