Syrus Elicus

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

108520 Issued in CA

Practice address

2476 Overland Ave Ste 205
Los Angeles, CA 90064-3374

Phone

(213) 423-7206

NPI assigned

May 11, 2022

Last updated

Sep 25, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nicholas T Golba DDS PLLC

  • General Practice Dentistry
  • Marquette, MI
  • NPI 1235642554
  NPD (past)

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790294400000",
    "number": "1891431862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2476 OVERLAND AVE STE 205",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900643374",
            "telephone_number": "213-423-7206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2476 OVERLAND AVE STE 205",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900643374",
            "telephone_number": "213-423-7206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELICUS",
        "first_name": "SYRUS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-11",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "108520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mirna Pamela Elias, M.D
• Nancy Elias
• Rebecca Elias, PH.D.
• Dawn S Eliashiv, M.D.
• Rodina Eliasnik, M.S CCC-SLP
• Elie M. Gindi, MD
• Porshad Jade Elie, MD
• Aubrey Marie Razalan Eligio, FNP-C
• Diana Elihu, PHARM.D.
• Doreece Elihu, DDS

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, 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 25, 2026; 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.