Individual provider Active NPI

Hannah Akoh Daba

  • General Practice Registered Nurse
  • Moreno Valley, CA
National Provider Identifier
1063193092
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
95329117 Issued in CA
Practice address
12672 Atherton Dr
Moreno Valley, CA 92555-2225
Phone
(774) 240-6950
NPI assigned
Jul 31, 2023
Last updated
Jul 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 95329117 CA Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X 95038988 CA

Addresses

Primary practice location

12672 Atherton Dr
Moreno Valley, CA 92555-2225

Mailing address

12672 Atherton Dr
Moreno Valley, CA 92555-2225
Phone (774) 240-6950

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
95329117CAMDGeneral Practice Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1063193092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12672 ATHERTON DR",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925552225",
            "telephone_number": "774-240-6950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12672 ATHERTON DR",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925552225",
            "telephone_number": "774-240-6950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABA",
        "first_name": "HANNAH",
        "middle_name": "AKOH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-31",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CA",
            "license": "95329117",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95038988",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; 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.