Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1699920678 Individual Practitioner Male Practitioner

Dr. Ehab Fayek Ismail , DDS

Dentist - General Practice • Norco, CA

Professional Overview & Biography Verified Profile Summary

Dr. Ehab Ismail, DDS is a registered healthcare professional specializing in Dentist - General Practice in Norco, CA. Practice services are available at 2641 HAMNER AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2641 Hamner Ave

Norco, CA 928603636

Telephone 5629684061
Associated Practice Facility / Clinic
🏢 A.s.shah,dmd, Inc. Facility NPI 1508268749

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Norco, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
20 Specialists

Practicing in Norco, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-11-24
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 47102

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Denti-Cal
D47102 (CA)

Secondary Practice Locations

8864 Corbin Ave

Northridge, CA 913243309

Phone: 8187099988

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Desiree Alvarado

Counselor - Mental Health

NPI 1104706514
Elyse Noda , OTR, L

Occupational Therapist

NPI 1215510300

Occupational Therapist Registered, L

Danielle Gonzalez

Physical Therapist

NPI 1376342485
Alayna Mendoza , APCC

Psychologist - Counseling

NPI 1437913779
Karlie Fernandez

Specialist/Technologist - Speech-Language Assistant

NPI 1912632191

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location November 24, 2020

Registered at 2641 HAMNER AVE, NORCO, CA 928603636 (Tel: 5629684061)

📍
Updated Business Mailing Address November 24, 2020

Registered at 2641 HAMNER AVE, NORCO, CA 928603636 (Tel: 5629684061)

📍
Updated Practice Location May 20, 2020

Registered at 6308 SHORTHORN DR, EASTVALE, CA 928808549 (Tel: 5629684061)

📍
Updated Business Mailing Address May 20, 2020

Registered at 6308 SHORTHORN DR, EASTVALE, CA 928808549 (Tel: 5629684061)

NPI Profile Active November 18, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location November 18, 2008

Registered at 1904 W PARKSIDE LN, SUITE 201, PHOENIX, AZ 850271228 (Tel: 8004092563)

📍
Updated Business Mailing Address November 18, 2008

Registered at 1904 W PARKSIDE LN, SUITE 201, PHOENIX, AZ 850271228 (Tel: 8004092563)

👤
Provider Name / Credentials Updated November 18, 2008

Recorded as EHAB ISMAIL, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 18, 2008

Dentist (License #47102 in CA)

🟢
Initial NPI Registration & Enumeration November 18, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699920678
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 18, 2008
Last Update: November 24, 2020
Sole Proprietor: No

Mailing Address

2641 Hamner Ave

Norco, CA 928603636

Phone: 5629684061

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.