Individual provider Active NPI

Hussam Wahbi

  • General Practice Dentistry
  • Lancaster, CA
National Provider Identifier
1922678945
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
106228 Issued in CA
Practice address
44950 Valley Central Way Ste 107
Lancaster, CA 93536-1507
Phone
(661) 317-5369
NPI assigned
Jun 30, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 106228 CA Primary

Addresses

Primary practice location

44950 Valley Central Way Ste 107
Lancaster, CA 93536-1507

Mailing address

44950 Valley Central Way Ste 107
Lancaster, CA 93536-1507
Phone (661) 317-5369

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

LicenseStateTypeSpecialty
106228CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Hussam Wahbi DMD Inc CurrentSince Mar 20, 2022 Accepting new patients

Locations

44950 Valley Central Way
Ste 107
Lancaster, CA 93536
Phone (661) 255-9200

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1922678945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44950 VALLEY CENTRAL WAY STE 107",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935361507",
            "telephone_number": "661-317-5369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44950 VALLEY CENTRAL WAY STE 107",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935361507",
            "telephone_number": "661-317-5369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHBI",
        "first_name": "HUSSAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-30",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "106228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.

Verify at the official NPI Registry.