Individual provider Active NPI

Zohra Damawand, FNP

  • Family Nurse Practitioner
  • Murrieta, CA
National Provider Identifier
1043799703
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95030204 Issued in CA
Practice address
40700 California Oaks Rd Ste 207
Murrieta, CA 92562-5789
Phone
(951) 412-0011
NPI assigned
Aug 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X NP95030204 CA
Family Nurse Practitioner 363LF0000X NP95030204 CA Primary

Addresses

Primary practice location

40700 California Oaks Rd Ste 207
Murrieta, CA 92562-5789

Mailing address

29744 Ski Ranch St
Murrieta, CA 92563-4201
Phone (317) 615-9266

Other practice location 1

29744 Ski Ranch St
Murrieta, CA 92563-4201
Phone (317) 615-9266

Other names 1

  • Zahra Hakeem Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240827001392 CA Practitioner - Nurse Practitioner 7719426360 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95030204CAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dzenan Lulic, M.D., a Medical Corporation CurrentSince Jul 15, 2024 Accepting new patients
Manikanda Raja MD a Professional Medical Corporation CurrentSince Aug 11, 2025 Accepting new patients
Abc Medical Corporation Current Accepting new patients

Locations

1701 E Florida Ave
Hemet, CA 92544
Phone (951) 652-2228

40700 California Oaks Rd
Ste 206
Murrieta, CA 92562
Phone (951) 239-1644

40700 California Oaks Rd
Ste 207
Murrieta, CA 92562
Phone (951) 677-5200

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1043799703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29744 SKI RANCH ST",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925634201",
            "telephone_number": "317-615-9266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40700 CALIFORNIA OAKS RD STE 207",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625789",
            "telephone_number": "951-412-0011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29744 Ski Ranch St",
            "address_purpose": "LOCATION",
            "city": "Murrieta",
            "state": "CA",
            "postal_code": "925634201",
            "country_code": "US",
            "telephone_number": "317-615-9266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAMAWAND",
        "first_name": "ZOHRA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-13",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "NP95030204",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95030204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZAHRA",
            "last_name": "HAKEEM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.