Individual provider Active NPI

Ayah Alhabcha

  • Dentist
  • Santee, CA
National Provider Identifier
1972338176
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
110656 Issued in CA
Practice address
8613 Chaparral Way
Santee, CA 92071-2072
Phone
(619) 274-4641
NPI assigned
Sep 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 110656 CA Primary

Addresses

Primary practice location

8613 Chaparral Way
Santee, CA 92071-2072

Mailing address

8613 Chaparral Way
Santee, CA 92071-2072
Phone (619) 274-4641

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250812001126 CA Order and Referring Only - DentistPractitioner - Dentist 3274031927

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
110656CAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1725580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1972338176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8613 CHAPARRAL WAY",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920712072",
            "telephone_number": "619-274-4641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8613 CHAPARRAL WAY",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920712072",
            "telephone_number": "619-274-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALHABCHA",
        "first_name": "AYAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-06",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "110656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santee, CA

Sources for this page

Verify at the official NPI Registry.