Individual provider Active NPI

Hiba Noori Shakir

  • Physician Assistant
  • El Cajon, CA
National Provider Identifier
1437834934
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA62407 Issued in CA
Practice address
133 W Main St Ste 200
El Cajon, CA 92020-3328
Phone
(619) 401-0404
NPI assigned
Jun 21, 2023
Last updated
Mar 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA62407 CA Primary

Addresses

Primary practice location

133 W Main St Ste 200
El Cajon, CA 92020-3328

Mailing address

133 W Main St Ste 200
El Cajon, CA 92020-3328
Phone (619) 401-0404

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
I20240731004778 CA Practitioner - Physician Assistant 3779020391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dap Health IncGroup PAC ID 6002989522, 67 clinicians

Practice addresses (Care Compare)

4343 Yaqui Pass Rd
Borrego Springs, CA 92004
Phone (760) 767-5051

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
62407CAMDGeneral Practice Dentistry
PA62407CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dap Health, Inc. CurrentSince Jun 17, 2024 Accepting new patients
Dap Health, Inc. CurrentSince Jun 17, 2024 Accepting new patients

Locations

133 W Main St
Ste 200
El Cajon, CA 92020
Phone (619) 401-0404

1695 N Sunrise Way
Palm Springs, CA 92262
Phone (760) 325-9370

Interoperability endpoints

  • Direct secure messaging: hshakir684890@direct.ochin.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1437834934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 W MAIN ST STE 200",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920203328",
            "telephone_number": "619-401-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 W MAIN ST STE 200",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920203328",
            "telephone_number": "619-401-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAKIR",
        "first_name": "HIBA",
        "middle_name": "NOORI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-21",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA62407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

Verify at the official NPI Registry.