Samira Zakkout, M.ED/ED.S.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

4510 Executive Dr Ste 315
San Diego, CA 92121-3029

Phone

(858) 534-8019

Fax

(858) 534-6727

NPI assigned

Mar 29, 2018

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522281600000",
    "number": "1811492945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 EXECUTIVE DR STE 315",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213029",
            "telephone_number": "858-534-8019",
            "fax_number": "858-534-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 EXECUTIVE DR STE 315",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213029",
            "telephone_number": "858-534-8019",
            "fax_number": "858-534-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAKKOUT",
        "first_name": "SAMIRA",
        "credential": "M.ED/ED.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-29",
        "last_updated": "2018-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Zakarian, PSYD
• Alexa M.J. Zaker
• Mina Zakhary, MD
• Jasmin Zaki, DDS
• Maram Fuad Zakko, MD
• Christopher Joe Zaknoun, DO
• Joseph Alan Zakowski, DDS
• John Luke Zakris
• Jacqueline Zaldua, BCBA
• Chelsea Zale, DO

• Clinical Social Worker in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; 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.