Hilda Yacoub Fokas, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

39499 Issued in CA

Practice address

11985 4TH St
Ste 115
Yacaipa, CA 92399

Phone

(909) 797-1175

Fax

(909) 790-2816

NPI assigned

Mar 5, 2007

Last updated

Jul 31, 2007By the provider in NPPES

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

Other names 1

• Dr. Hilda M Yacoub Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185840000000",
    "number": "1457480402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11985 4TH ST",
            "address_2": "STE 115",
            "city": "YACAIPA",
            "state": "CA",
            "postal_code": "92399",
            "telephone_number": "909-797-1175",
            "fax_number": "909-790-2816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11985 4TH ST",
            "address_2": "STE 115",
            "city": "YACAIPA",
            "state": "CA",
            "postal_code": "92399",
            "telephone_number": "909-797-1175",
            "fax_number": "909-790-2816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOKAS",
        "first_name": "HILDA",
        "middle_name": "YACOUB",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HILDA",
            "last_name": "YACOUB",
            "middle_name": "M",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2007; 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.