Individual provider Active NPI

Hakeem Shoola, NP

  • Nurse Practitioner
  • Orange, CA
National Provider Identifier
1831873918
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95025984 Issued in CA
Practice address
333 City Blvd W Ste 362
Orange, CA 92868-2972
Phone
(615) 673-4455
NPI assigned
Jun 9, 2023
Last updated
Feb 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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 95025984 CA Primary

Addresses

Primary practice location

333 City Blvd W Ste 362
Orange, CA 92868-2972

Mailing address

333 City Blvd W Ste 362
Orange, CA 92868-2972
Phone (615) 673-4455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231005000979 CA Practitioner - Nurse Practitioner 4880049246 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95025984CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Global Wound Care Medical Group CurrentSince Oct 23, 2023 Accepting new patients
Monogram Health Professional Services of California PC Nurse Practitioner CurrentSince Oct 20, 2025 Accepting new patients

Locations

5901 W Century Blvd
Ste 750
Los Angeles, CA 90045
Phone (323) 843-2861

333 City Blvd W
Ste 362
Orange, CA 92868

180 Promenade Cir
Ste 300
Sacramento, CA 95834
Phone (916) 352-6232

5410 Maryland Way
Ste 400
Brentwood, TN 37027

Interoperability endpoints

  • Direct secure messaging: hakeem.shoola.1@22854.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1686268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1831873918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 CITY BLVD W STE 362",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682972",
            "telephone_number": "615-673-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 CITY BLVD W STE 362",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682972",
            "telephone_number": "615-673-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOOLA",
        "first_name": "HAKEEM",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-09",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95025984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.