Individual provider Active NPI

Asil Zaina Dakak, NP

  • Nurse Practitioner
  • Newport Beach, CA
National Provider Identifier
1760766406
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP21335 Issued in CA
Practice address
4700 Von Karman Ave Ste 102
Newport Beach, CA 92660-2194
Phone
(949) 203-3434
NPI assigned
Sep 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP21335 CA Primary

Addresses

Primary practice location

4700 Von Karman Ave Ste 102
Newport Beach, CA 92660-2194

Mailing address

4700 Von Karman Ave Ste 102
Newport Beach, CA 92660-2194
Phone (949) 203-3434

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)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Beauty Medical Spa Inc CurrentSince Nov 26, 2023 Accepting new patients
Coastal Communities Physician Network, Inc. Past Accepting new patients

Locations

4700 Von Karman Ave
Ste 102
Newport Beach, CA 92660
Phone (949) 743-1457

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1317254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1760766406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 VON KARMAN AVE STE 102",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602194",
            "telephone_number": "949-203-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 VON KARMAN AVE STE 102",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602194",
            "telephone_number": "949-203-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAKAK",
        "first_name": "ASIL",
        "middle_name": "ZAINA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-29",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP21335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; 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.