Noor Dakkak

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

56422 Issued in CA

Practice address

1433 N Hollenbeck Ave Ste 101
Covina, CA 91722-1558

Phone

(626) 214-3675

NPI assigned

Jan 7, 2016

Reactivated

Feb 13, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Merit-based Incentive Payment System (MIPS)

Final score

96.69 of 100Reported as group

Quality

90

Improvement activities

40

Cost

78.43

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Cep America - California

  • Emergency Medicine Physician
  • San Francisco, CA
  • NPI 1023063542
  Medicare reassignment
• Cep America - California

  • Emergency Medicine Physician
  • Santa Ana, CA
  • NPI 1548667843
  Medicare reassignment
• Cep America - California

  • Emergency Medicine Physician
  • Valencia, CA
  • NPI 1710686035
  NPD
• Cep America-California

  • Emergency Medicine Physician
  • Crescent City, CA
  • NPI 1366124364
  NPD
• Central Urgent Medical Care

  • Urgent Care Clinic/Center
  • Montclair, CA
  • NPI 1043775919
  NPD (past)

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

{
    "created_epoch": "1452124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630108800000",
    "number": "1265898126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20537 E CALORA ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917241240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 N HOLLENBECK AVE STE 101",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917221558",
            "telephone_number": "626-214-3675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAKKAK",
        "first_name": "NOOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-07",
        "last_updated": "2021-08-28",
        "certification_date": "2021-08-28",
        "deactivation_date": "2019-02-06",
        "reactivation_date": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "56422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Dademasch
• Dawn Nicoli Dades, M.F.T.
• Dagher MD Medical Group Inc
• Dagher MD Medical Group Inc
• Sonja S Dais Owens, D.V.M.
• Cynthia Chang Daley, LCSW
• Sean Daley
• Leen Daloul
• Jade Dalton
• Sydney Anne Daly-Weber

• Physician Assistant in Covina, CA
• Providers in Covina, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.