EBTISSAM H KORKIS MD INC (NPI# 1144732595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144732595 |
| Entity Type | Organization |
| Organization Name | EBTISSAM H KORKIS MD INC |
| Practice Address |
1530 Jamacha Rd Ste E-f El Cajon CA 92019-3700 |
| Practice Telephone | 6194419200 |
| Practice Fax Number | 6194410710 |
| Mailing Telephone | 6194419200 |
| Mailing Fax Number | 6194410710 |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | EBTISSAM H. KORKIS (AUTHORIZED OFFICAL/PRESIDENT) |
| Authorized Official Telephone | 6194419200 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A897670 | 05 |
| Street Address |
1530 JAMACHA RD STE E-F |
| City | EL CAJON |
| State | CA |
| Zip Code | 92019-3700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497299747 | Vanessa Salem | Occupational Therapy Assistant | 11368 Via Rancho San Diego Unit F, El Cajon, CA 92019 | 2016-12-06 |
| 1497103865 | Jocelyn De Jesus Tuason | Assisted Living Facility | 11945 Via Hacienda, El Cajon, CA 92019 | 2016-05-26 |
| 1508241340 | Dalia Jamma | Dentist | 2990 Jamacha Rd # 140, El Cajon, CA 92019 | 2015-07-22 |
| 1720477060 | Angela Marie Robertson | Registered Nurse | 208 Almyra Rd, El Cajon, CA 92019 | 2015-01-09 |
| 1730483785 | Christina Lynn Winter | Dentist | 183 S. First Street, El Cajon, CA 92019 | 2011-01-05 |
| 1649588005 | Anna Liza Celso Baston | Nurse Practitioner | 1465 E Lexington, Unit 10-c, El Cajon, CA 92019 | 2010-09-20 |
| 1194050997 | Cokey Powell | Psychologist | 2815 Steele Cajon Rd., El Cajon, CA 92019 | 2009-10-12 |
| 1871738039 | Volunteers In Medicine - San Diego, Inc. | Voluntary or Charitable | 1465 E Madison Avenue, El Cajon, CA 92019 | 2008-12-02 |
| 1568507168 | Dianna Lee Norman | Family Medicine | 165 S First Street, El Cajan, CA 92019 | 2007-02-21 |
| 1780746263 | Ebtissam H Korkis | Family Medicine | 1530 Jamacha Road, Unit E Unit F, El Cajon, CA 92019 | 2006-12-14 |
| Find all providers in zip 92019 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700417755 | Faranak Ghazi Md | Family Medicine | 1625 E Main St Ste 102, El Cajon, CA 92021-5223 | 2020-01-29 |
| 1396219135 | Rejuve2u Inc, A Professional Medical Corporation | Family Medicine | 2150 Chardon Ln, El Cajon, CA 92019-3884 | 2019-01-15 |
| 1013407790 | Erin Metcalf | Family Medicine | 133 W Main St., 240, El Cajon, CA 92020 | 2018-05-17 |
| 1871889469 | Pushpa K Desai | Family Medicine | 11701 Calle Trucksess, El Cajon, CA 92019-4819 | 2011-06-22 |
| 1851602254 | Julie A Keeler Do Inc | Family Medicine | 771 Jamacha Rd (no Office - Housecalls Only), #257, El Cajon, CA 92019-3202 | 2010-06-30 |
| 1063651552 | Nejat Arab Jalisi | Family Medicine | 1320 E Madison Ave, El Cajon, CA 92021-8531 | 2009-02-06 |
| 1871796086 | Dennis O. Dominguez, Md, A Medical Corporation | Family Medicine | 505 N. Mollison Ave, Suite 201, El Cajon, CA 92021 | 2007-06-06 |
| 1730301706 | Herman Samuel Rauch | Family Medicine | 858 Sycamore Ln., El Cajon, CA 92019-1121 | 2007-05-02 |
| 1457407702 | Patrick Henry Sweet IIi | Family Medicine | 463 N Magnolia Ave, El Cajon, CA 92020-3606 | 2007-01-26 |
| 1780746263 | Ebtissam H Korkis | Family Medicine | 1530 Jamacha Road, Unit E Unit F, El Cajon, CA 92019 | 2006-12-14 |
| Find all providers in EL CAJON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.