Yacoub A Professional Dental Corporation
NPI 1740460187ActiveOrganization· Dentist, General Practice· El Cajon, CA
Dentist, General Practice in El Cajon, California, registered in NPPES in November 2007. The authorized official on file is Khalid Marqus Yacoub, DDS, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1740460187 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 13, 2007 |
| Last updated in NPPES | Oct 2, 2025 |
| Certified by provider | Oct 2, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 43510 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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