Active NPI
Ayat Elsherif, DDS
- Endodontics
- Irvine, CA
National Provider Identifier
1912497868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 102240
- Practice address
- 4040 Barranca Pkwy Ste 135a
Irvine, CA 92604-4773 - Phone
- (949) 262-1300
- NPI assigned
- May 16, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 102240 | CA | |
| Endodontics | 1223E0200X | 102240 | CA | Primary |
Addresses
Primary practice location
4040 Barranca Pkwy Ste 135a
Irvine, CA 92604-4773
Mailing address
349 Novel
Irvine, CA 92618-1793
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102240 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Um Dental Inc | Endodontics | Current | Accepting new patients |
| Kim Shimazu & Lee Dental Corp | Endodontics | Past | Accepting new patients |
Locations
4040 Barranca Pkwy
Ste 135A
Irvine, CA 92604
Phone (949) 262-1300
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725408000000",
"number": "1912497868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "349 NOVEL",
"city": "IRVINE",
"state": "CA",
"postal_code": "926181793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4040 BARRANCA PKWY STE 135A",
"city": "IRVINE",
"state": "CA",
"postal_code": "926044773",
"telephone_number": "949-262-1300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELSHERIF",
"first_name": "AYAT",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-16",
"last_updated": "2024-09-04",
"certification_date": "2024-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "102240",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "102240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.