Hiba Waleed Zaku

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

105055 Issued in CA

Practice address

2990 Jamacha Rd Ste 140
El Cajon, CA 92019-4387

Phone

(760) 650-5658

NPI assigned

Jul 23, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1770192015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1594 NICHOLAS PL",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920193378",
            "telephone_number": "760-650-5658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 JAMACHA RD STE 140",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920194387",
            "telephone_number": "760-650-5658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAKU",
        "first_name": "HIBA",
        "middle_name": "WALEED",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-23",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "105055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Florence Munoz Yumul, RN
• Aisha Yusuf
• Yvonne E Munoz LCSW
• Zaid Saeed, DDS, Inc., a Dental Corporation
• Krystle Zaidi
• George Manuel Zambrana, P.A
• Monica Zamora
• Dahermelin Zamudio Zamudio
• Lauren Zanardi
• James Joseph Zapf Jr., RN, NP

• General Practice Dentistry in El Cajon, CA
• Providers in El Cajon, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; 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.