NPIMap

Individual provider Active NPI

Zouhair Hakak, MD

  • Internal Medicine Physician
  • San Dimas, CA
National Provider Identifier
1700876323
Registry record updated Feb 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C51024 Issued in CA
Practice address
1330 W Covina Blvd
San Dimas, CA 91773-3200
Phone
(909) 267-9138
Fax
(909) 267-9566
NPI assigned
Oct 25, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C51024 CA Primary

Addresses

Primary practice location

1330 W Covina Blvd
San Dimas, CA 91773-3200

Mailing address

1330 W Covina Blvd
Suite 206
San Dimas, CA 91773-3200
Phone (909) 267-9138

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090820000344 CA Practitioner - Internal Medicine 2769539873 Practice locations: Pomona, CA; Rancho Cucamonga, CA; San Dimas, CA; Upland, CA; West Covina, CA; Baldwin Park, CA; Montclair, CA; La Verne, CA…

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Hospitalist IncGroup PAC ID 5092814038, 17 clinicians

Practice addresses (Care Compare)

255 E Bonita Ave
Pomona, CA 91767-1923
Phone (909) 941-0661

Hospital & facility affiliations

  • Vanura Home Health Services, Inc Home health agency, Rancho Cucamonga, CA, CCN 058181
  • San Antonio Regional Hospital Hospital, Upland, CA, CCN 050099
  • San Dimas Community Hospital Hospital, San Dimas, CA, CCN 050588
  • Emanate Health Inter-Community Hospital Hospital, Covina, CA, CCN 050382
  • Kindred Hospital Rancho Long-term care hospital, Rancho Cucamonga, CA, CCN 052049

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51024CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rambod Amani Yazdi MD Corp Past Accepting new patients
Sand Coast Rehab Physical Therapy Inc Past Accepting new patients
Brethren Hillcrest Homes Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: zhakak@zhakakcorp.officeally.direct

Organizations & group practices 4

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.

Hospital & facility affiliations 7

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": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361404800000",
    "number": "1700876323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 W COVINA BLVD",
            "address_2": "SUITE 206",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733200",
            "telephone_number": "909-267-9138",
            "fax_number": "909-267-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 W COVINA BLVD",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733200",
            "telephone_number": "909-267-9138",
            "fax_number": "909-267-9566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAKAK",
        "first_name": "ZOUHAIR",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2013-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C51024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Dimas, CA

Sources for this page

Verify at the official NPI Registry.