Active NPI
Masheil Zakariya, DDS
- General Practice Dentistry
- Lemon Grove, CA
National Provider Identifier
1710137252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 58466
- Practice address
- 8100 Broadway Ste a
Lemon Grove, CA 91945-2667 - Phone
- (619) 697-9501
- Fax
- (619) 697-9532
- NPI assigned
- Sep 21, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019.027773 | IL | |
| General Practice Dentistry | 1223G0001X | 58466 | CA | Primary |
Addresses
Primary practice location
8100 Broadway Ste a
Lemon Grove, CA 91945-2667
Mailing address
2450 Sawgrass St
El Cajon, CA 92019-4552
Phone (619) 787-7769
Other practice location 1
6175 El Cajon Blvd
San Diego, CA 92115-3915
Phone (619) 787-7769
Other names 1
- Masheil Hanna
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019.027773 | IL | MD | Dentist |
| 58466 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Masheil Zakariya DDS Inc | Current | Accepting new patients |
Locations
8100 Broadway
Ste A
Lemon Grove, CA 91945
Phone (619) 697-9501
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Lemon Grove, CA
- NPI 1063016970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614902400000",
"number": "1710137252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2450 SAWGRASS ST",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920194552",
"telephone_number": "619-787-7769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8100 BROADWAY STE A",
"city": "LEMON GROVE",
"state": "CA",
"postal_code": "919452667",
"telephone_number": "619-697-9501",
"fax_number": "619-697-9532"
}
],
"practiceLocations": [
{
"address_1": "6175 El Cajon Blvd",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921153915",
"country_code": "US",
"telephone_number": "619-787-7769",
"fax_number": "619-583-7893",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZAKARIYA",
"first_name": "MASHEIL",
"name_prefix": "Mrs.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-21",
"last_updated": "2021-03-05",
"certification_date": "2021-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019.027773",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "58466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MASHEIL",
"last_name": "HANNA",
"credential": "DDS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lemon Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.