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SELSABEEL ELGHANDOUR
NPI 1922794270
Dentist in Berkeley, CA

Active since April 11, 2023PECOS Enrolled
1860 ALCATRAZ AVE, BERKELEY, CA 94703(510) 280-6080 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 29, 2026, Apr 11, 2023 (2 updates tracked since 2023).

About Selsabeel Elghandour NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SELSABEEL ELGHANDOUR (NPI 1922794270) is an individual dentist in Berkeley, California, licensed in California (DDS113505) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922794270
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameSELSABEEL ELGHANDOUR
Location Address1860 ALCATRAZ AVEBerkeley, CA 94703-2715
Mailing Address1860 Alcatraz AveBerkeley, CA 94703-2715
Phone(510) 280-6080
Sole ProprietorNo
Enumeration DateApril 11, 2023
Last NPPES UpdateJuly 29, 20262 updates tracked since enumeration
NPPES CertifiedJuly 29, 2026
✔ NPI 1922794270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · DDS113505
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1860 ALCATRAZ AVE, Berkeley, CA 94703
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Selsabeel Elghandour is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94703 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LIFELONG MEDICAL CARE
Dentist (General Practice)
1860 ALCATRAZ AVE
BERKELEY, CA 94703
Alameda County (510) 653-8500
DR. JAMES IN YOUNG MUN D.D.S.
Dentist
1860 ALCATRAZ AVE
BERKELEY, CA 94703
Alameda County (510) 280-6080
DR. TAYLOR OREILLY DDS
Dentist (General Practice)
1860 ALCATRAZ AVE
BERKELEY, CA 94703
Alameda County (510) 653-8500
CHRISTALLYN TAN
Dentist
1860 ALCATRAZ AVE
BERKELEY, CA 94703
Alameda County (510) 653-8500
DR. MARIA VICTORIA SABERON GUECO DDS
Dentist
1860 ALCATRAZ AVE
BERKELEY, CA 94703
Alameda County (510) 280-6080
JOHN NOBLE D.D.S.
Dentist
1860 ALCATRAZ AVE
BERKELEY, CA 94703
Alameda County (510) 653-8500
DR. OWEN TOBIAS CHAN DDS
Dentist
1860 ALCATRAZ AVE
BERKELEY, CA 94703
Alameda County (510) 981-4100
DR. MARY TRAN-WEXLER D.D.S.
Dentist
1860 ALCATRAZ AVE
BERKELEY, CA 94703
Alameda County (510) 280-6080

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Selsabeel Elghandour's NPI number?

The NPI number for Selsabeel Elghandour is 1922794270. It was assigned to this individual provider in the NPPES registry on April 11, 2023.

Where is Selsabeel Elghandour located?

Selsabeel Elghandour practices at 1860 Alcatraz Ave, Berkeley, CA 94703. The listed phone number is (510) 280-6080.

What is Selsabeel Elghandour's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Selsabeel Elghandour enrolled in Medicare?

Yes. Selsabeel Elghandour is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Selsabeel Elghandour was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.