Organization Active NPI

Jonathan Hakakha DDS Inc

  • General Practice Dentistry
  • Long Beach, CA
National Provider Identifier
1154148179
Registry record updated Sep 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JONATHAN HAKAKHA DDS INC
Practice address
1335 Long Beach Blvd Ste a
Long Beach, CA 90813-3226
Phone
(562) 599-6600
NPI assigned
Sep 21, 2024
Last updated
Sep 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2024

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

Authorized official

Name
Dr. Jonathan Hakakha, DDSNPI 1124850151
Title
President
Phone
(310) 713-4078

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1335 Long Beach Blvd Ste a
Long Beach, CA 90813-3226

Mailing address

1335 Long Beach Blvd Ste a
Long Beach, CA 90813-3226

National Provider Directory

National Provider Directory

Locations

1335 Long Beach Blvd
#A
Long Beach, CA 90813
Phone (562) 599-6600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1726876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726876800000",
    "number": "1154148179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 LONG BEACH BLVD STE A",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 LONG BEACH BLVD STE A",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133226",
            "telephone_number": "562-599-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN HAKAKHA DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-21",
        "last_updated": "2024-09-21",
        "certification_date": "2024-09-21",
        "status": "A",
        "authorized_official_last_name": "HAKAKHA",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-713-4078",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.