Individual provider Active NPI

Fatima H Hakkak, DO

  • Cardiovascular Disease Physician
  • Upland, CA
National Provider Identifier
1568562247
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
20A10650 Issued in CA
Practice address
685 N 13TH Ave Ste 9
Upland, CA 91786-4963
Phone
(909) 990-1157
NPI assigned
Sep 23, 2006
Last updated
Feb 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 20A10650 CA Primary

Addresses

Primary practice location

685 N 13TH Ave Ste 9
Upland, CA 91786-4963

Mailing address

8780 19TH St # 353
Alta Loma, CA 91701-4608
Phone (909) 990-1157

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090507000209 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3870511637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

255 E Bonita Ave
Pomona, CA 91767-1923
Phone (909) 450-0158

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20A10650CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fatima H. Hakkak D.O., Inc. Cardiovascular Disease CurrentSince Mar 15, 2010 Accepting new patients
Rubina Aqeel MD Inc PastSince Mar 13, 2022 Accepting new patients

Locations

255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127

255 E Bonita Ave
Bldg 1B
Pomona, CA 91767
Phone (909) 275-7470

255 E Bonita Ave
Ste 1B
Pomona, CA 91767

8780 19th St
Rancho Cucamonga, CA 91701
Phone (909) 773-8572

1183 E Foothill Blvd
Ste 260
Upland, CA 91786
Phone (909) 579-6466

685 N 13th Ave
Ste 9
Upland, CA 91786
Phone (909) 949-3977

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, 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": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1568562247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8780 19TH ST # 353",
            "city": "ALTA LOMA",
            "state": "CA",
            "postal_code": "917014608",
            "telephone_number": "909-990-1157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 N 13TH AVE STE 9",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864963",
            "telephone_number": "909-990-1157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAKKAK",
        "first_name": "FATIMA",
        "middle_name": "H",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-23",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "20A10650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

Verify at the official NPI Registry.