Organization Active NPI

Youssef a Dabbagh DDS Inc

  • Dental Clinic/Center
  • Lancaster, CA
National Provider Identifier
1962261875
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
YOUSSEF A DABBAGH DDS INC
Practice address
1672 W Avenue J
Lancaster, CA 93534-2827
Phone
(661) 945-5575
NPI assigned
Mar 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Authorized official

Name
Youssef Dabbagh, DDSNPI 1821855503
Title
Ceo
Phone
(818) 447-1372

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1672 W Avenue J
Lancaster, CA 93534-2827

Mailing address

17570 Rinaldi St
Granada Hills, CA 91344-3318
Phone (818) 447-1372

Other practice location 1

11026 Balboa Blvd
Granada Hills, CA 91344-5007
Phone (818) 363-1211

National Provider Directory

National Provider Directory

Locations

11026 Balboa Blvd
Granada Hills, CA 91344
Phone (818) 363-1211

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1962261875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17570 RINALDI ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913443318",
            "telephone_number": "818-447-1372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1672 W AVENUE J",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342827",
            "telephone_number": "661-945-5575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11026 Balboa Blvd",
            "address_purpose": "LOCATION",
            "city": "Granada Hills",
            "state": "CA",
            "postal_code": "913445007",
            "country_code": "US",
            "telephone_number": "818-363-1211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "YOUSSEF A DABBAGH DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "DABBAGH",
        "authorized_official_first_name": "YOUSSEF",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-447-1372",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "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 14, 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.