Mubark Hussen Wako

Primary specialty

DriverTaxonomy code 172A00000X

License

Y000083822100 Issued in MN

Practice address

799 Reaney Ave
Saint Paul, MN 55106-4412

Phone

(855) 324-7843

NPI assigned

Mar 5, 2026

Last updated

Mar 5, 2026By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Fairview Health Services

  dba Fairview Emergency Medical Services

  • Land Ambulance
  • Saint Paul, MN
  • NPI 1710212485
  NPD (past)

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

{
    "created_epoch": "1772668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1912853672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "799 REANEY AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551064412",
            "telephone_number": "855-324-7843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 REANEY AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551064412",
            "telephone_number": "855-324-7843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAKO",
        "first_name": "MUBARK",
        "middle_name": "HUSSEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-03-05",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "MN",
            "license": "Y000083822100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Wahlen
• John Geoffrey Wahlstrom, M.D.
• Kyle L Wahlstrom, MD
• Ebtisam Wais
• Hawo Wako
• Wal-Mart Stores, Inc. (Vision Center 30-3364)
• Bonnie-Jo Walbruch, OTR
• James Michael Walch, LICSW
• Karen Pick Wald, M.S. C.C.C.
• Lori Wald, R.N.

• Driver in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Driver in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; 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.