Hazzaa Yahya, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

103970 Issued in CA

Practice address

3509 Sweetwater Springs Blvd Ste 1
Spring Valley, CA 91978-1064

Phone

(619) 670-4471

NPI assigned

Jun 26, 2017

Last updated

Mar 12, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dentists of Chula Vista Hazzaa Yahya Gen PTR

  dba Dental Group Palomar

  • Dental Clinic/Center
  • Chula Vista, CA
  • NPI 1407611049
  NPD Authorized official
• Yahya Dental Corp

  dba Spring Valley Dental Care

  • Dental Clinic/Center
  • Spring Valley, CA
  • NPI 1316568322
  NPD Authorized official

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1811417348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3509 SWEETWATER SPRINGS BLVD STE 1",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919781064",
            "telephone_number": "619-670-4471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 SWEETWATER SPRINGS BLVD STE 1",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919781064",
            "telephone_number": "619-670-4471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAHYA",
        "first_name": "HAZZAA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-26",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "103970",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "01931234",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffery Daniel Winchester, P.P.S. COUNSELOR
• Daisy Wong, PHARMD
• Douglas Wong, RPH
• Evelynn Woolley
• Yahya Dental Corp (Spring Valley Dental Care)
• Carleen Joy Yousif, PHARM.D.
• Sama Ghassan Abdulsatt Yousif
• Virginia Zarinebaf
• Denise Zendejas, DDS
• Jordan Leal Ziegler, DC

• Dentist in Spring Valley, CA
• Providers in Spring Valley, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.