Individual provider Active NPI

Halima Zainab, FNP

  • Family Nurse Practitioner
  • Hesperia, CA
National Provider Identifier
1114421211
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95008881 Issued in CA
Practice address
15791 Bear Valley Rd
Hesperia, CA 92345-1746
Phone
(760) 949-1231
Fax
(877) 738-3841
NPI assigned
Mar 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2306197 MA
Family Nurse Practitioner 363LF0000X NP95008881 CA Primary

Addresses

Primary practice location

15791 Bear Valley Rd
Hesperia, CA 92345-1746

Mailing address

9919 Topaz Ave Apt 154
Hesperia, CA 92345-8007
Phone (781) 600-5628

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
NP95008881CAMDFamily Nurse Practitioner
RN2306197MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Medical Associates LLC PastSince Jul 18, 2010 Accepting new patients
Quincy Primary Healthcare PC PastSince Nov 25, 2017 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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": "1521676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588636800000",
    "number": "1114421211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9919 TOPAZ AVE APT 154",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923458007",
            "telephone_number": "781-600-5628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15791 BEAR VALLEY RD",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923451746",
            "telephone_number": "760-949-1231",
            "fax_number": "877-738-3841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAINAB",
        "first_name": "HALIMA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-22",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2306197",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95008881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hesperia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; 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.