Mohamed Elshafie, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

32231 Issued in CA

Practice address

400 Mobil Ave
Suite a-4
Camarillo, CA 93010

Phone

(805) 484-3599

Fax

(805) 484-0747

NPI assigned

Jun 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: melshafie802617@direct.ochin.org
• Direct secure messaging: mohamed.elshafie.p1@direct.clinicas.nextgenshare.com

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.

• Thomas M Pham DMD Inc

  • Dental Clinic/Center
  • Camarillo, CA
  • NPI 1982341798
  NPD (past)

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1841238367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MOBIL AVE",
            "address_2": "SUITE A-4",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "93010",
            "telephone_number": "805-484-3599",
            "fax_number": "805-484-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MOBIL AVE",
            "address_2": "SUITE A-4",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "93010",
            "telephone_number": "805-484-3599",
            "fax_number": "805-484-0747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3750 rohnerville road",
            "address_purpose": "LOCATION",
            "city": "fortuna",
            "state": "CA",
            "postal_code": "95540",
            "country_code": "US",
            "telephone_number": "707-725-4477",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 E Washington Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Crescent City",
            "state": "CA",
            "postal_code": "955318161",
            "country_code": "US",
            "telephone_number": "707-465-6925",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4279 Tierra Rejada Rd",
            "address_purpose": "LOCATION",
            "city": "Moorpark",
            "state": "CA",
            "postal_code": "930213775",
            "country_code": "US",
            "telephone_number": "805-222-2323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELSHAFIE",
        "first_name": "MOHAMED",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "32231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Camarillo, CA
• Providers in Camarillo, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; 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.

Verify at the official NPI Registry.