Hiba Abudamous
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · San Mateo, CA
NPI 1811398373 · NPPES record last updated Sep 15, 2014
Key facts
- NPI
- 1811398373
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 225 37TH Ave FL 3
San Mateo, CA 94403-4324 - Phone
- (650) 888-4834
- NPI assigned
- Sep 15, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 17
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- County of San Mateo
Practice addresses (Care Compare)
222 W 39TH Ave
San Mateo, CA 94403-4364
Phone (650) 573-2222
Hospital & facility affiliations
- San Mateo Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230403002026 | CA | Practitioner - Clinical Psychologist | 2668847781 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of San Mateo | Current | Accepting new patients | |
| County of San Mateo | Current |
Accepting new patients | |
| County of San Mateo | Current |
Accepting new patients |
Locations
222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
225 37TH Ave FL 3
San Mateo, CA 94403-4324
Mailing address
PO Box 51
Millbrae, CA 94030-0051
Phone (650) 888-4834
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- Omar Abu Zaed
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- Rebeca Fletes Aceret
- Sebastian Acevedo
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All providers in San Mateo, CA · Student in an Organized Health Care Education/Training Program in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2014. 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.