Individual provider Active NPI

Sabrina Hajjou, SA-C

  • Surgical Assistant
  • Olney, MD
National Provider Identifier
1043051741
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
17-384 Issued in WI
Practice address
3570 Olney Laytonsville Rd Unit 71
Olney, MD 20830-7503
Phone
(301) 363-4934
NPI assigned
Jun 5, 2024
Last updated
Jun 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 17-384 WI Primary

Addresses

Primary practice location

3570 Olney Laytonsville Rd Unit 71
Olney, MD 20830-7503

Mailing address

3570 Olney Laytonsville Rd Unit 71
Olney, MD 20830-7503
Phone (301) 363-4934

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
17-384WIMDSurgical Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Platinum Surgical Assistants CurrentSince Jun 9, 2024 Accepting new patients

Locations

3570 Olney Laytonsville Rd
Unit 71
Olney, MD 20830
Phone (301) 363-4934

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1043051741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3570 OLNEY LAYTONSVILLE RD UNIT 71",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208307503",
            "telephone_number": "301-363-4934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 OLNEY LAYTONSVILLE RD UNIT 71",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208307503",
            "telephone_number": "301-363-4934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAJJOU",
        "first_name": "SABRINA",
        "credential": "SA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "WI",
            "license": "17-384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olney, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.