Rebecca El-Khoury

Primary specialty

DentistTaxonomy code 122300000X

License

DDS104717 Issued in CA

Practice address

8031 Linda Vista Rd Ste 210
San Diego, CA 92111-5110

Phone

(619) 916-3110

NPI assigned

Jul 12, 2019

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

Practice roles

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.

• Rebecca El-Khoury D.D.S., Inc

  • Dental Clinic/Center
  • Encino, CA
  • NPI 1437025616
  NPD Authorized official
• Familia Dental Green Bay East LLC

  • Dental Clinic/Center
  • Green Bay, WI
  • NPI 1194188706
  NPD (past)

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

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1902458680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8031 LINDA VISTA RD # 210",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921115110",
            "telephone_number": "818-644-3677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8031 LINDA VISTA RD STE 210",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921115110",
            "telephone_number": "619-916-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL-KHOURY",
        "first_name": "REBECCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-12",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1002155",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS104717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• El Nudo, LLC
• Tarek El-Ansary, PHARMD
• Malak El-Dika
• Samyra El-Ftesi, MD
• Robert E El-Kareh, M.D.
• Krystadare El-Najjjar, MA-CCC-SLP
• Bassel Fouad El-Rayes, MD
• Howaida Galal El-Said, M.D.
• Hisham Nabil El-Tayeb, M.D.
• Reza Elahimehr, M.D.

• Dentist in San Diego, CA
• Providers in San Diego, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.