Taha Abdelwahhab, APRN-CNP, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Hayward, CA
NPI 1760670616 · NPPES record last updated May 14, 2026
Key facts
- NPI
- 1760670616
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 22045 (CA)
- Practice address
- 22248 Main St
Hayward, CA 94541-4005 - Phone
- (650) 899-0762
- Fax
- (510) 256-0248
- NPI assigned
- Oct 4, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4800 N Scottsdale Rd
Suite 2500
Scottsdale, AZ 85251-7630
490 Post St
San Francisco, CA 94102-1301
66 E Flagler St
Miami, FL 33130-1807
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260609003491 | CA | Practitioner - Nurse Practitioner | 4486125556 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 641128 | CA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central County Mental Health Services | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 641128 | CA | |
| Nurse Practitioner | 363L00000X | 68088 | CA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 22045 | CA | Yes |
Addresses
Primary practice location
22248 Main St
Hayward, CA 94541-4005
Mailing address
22248 Main St
Hayward, CA 94541-4005
Other practice location 1
1720 El Camino Real Ste 140
Burlingame, CA 94010-3231
Phone (925) 282-1778
Other providers in Hayward, CA
- Yamilet Abaunza
- Pouran Dokht Abbaszadeh
- Mariam Abdalgadir
- Zena Abdallah
- Saleh Abdeen
- Jia Qi Fan Abdon
- Haneen Abdulkader
- Regine Daria Abejar
- Alyna Danielle Abeleda-Mostajo
- Wilfred Abellon
All providers in Hayward, CA · Psychiatric/Mental Health Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.