HUSSAM S BASHEER KHATTAB (NPI# 1851940076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851940076 |
| Entity Type | Individual |
| Full Name | HUSSAM S BASHEER KHATTAB |
| Practice Address |
12094 Calle De Medio Unit 138 El Cajon CA 92019-4953 |
| Practice Telephone | 8325429011 |
| Mailing Telephone | 8325429011 |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2019-09-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 80756 | CA | Pharmacy Service Providers |
| Street Address |
12094 CALLE DE MEDIO UNIT 138 |
| City | EL CAJON |
| State | CA |
| Zip Code | 92019-4953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497299747 | Vanessa Salem | Occupational Therapy Assistant | 11368 Via Rancho San Diego Unit F, El Cajon, CA 92019 | 2016-12-06 |
| 1497103865 | Jocelyn De Jesus Tuason | Assisted Living Facility | 11945 Via Hacienda, El Cajon, CA 92019 | 2016-05-26 |
| 1508241340 | Dalia Jamma | Dentist | 2990 Jamacha Rd # 140, El Cajon, CA 92019 | 2015-07-22 |
| 1720477060 | Angela Marie Robertson | Registered Nurse | 208 Almyra Rd, El Cajon, CA 92019 | 2015-01-09 |
| 1730483785 | Christina Lynn Winter | Dentist | 183 S. First Street, El Cajon, CA 92019 | 2011-01-05 |
| 1649588005 | Anna Liza Celso Baston | Nurse Practitioner | 1465 E Lexington, Unit 10-c, El Cajon, CA 92019 | 2010-09-20 |
| 1194050997 | Cokey Powell | Psychologist | 2815 Steele Cajon Rd., El Cajon, CA 92019 | 2009-10-12 |
| 1871738039 | Volunteers In Medicine - San Diego, Inc. | Voluntary or Charitable | 1465 E Madison Avenue, El Cajon, CA 92019 | 2008-12-02 |
| 1568507168 | Dianna Lee Norman | Family Medicine | 165 S First Street, El Cajan, CA 92019 | 2007-02-21 |
| 1780746263 | Ebtissam H Korkis | Family Medicine | 1530 Jamacha Road, Unit E Unit F, El Cajon, CA 92019 | 2006-12-14 |
| Find all providers in zip 92019 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437757424 | Hind Almjamaie | Pharmacist | 368 Orlando St Unit 27, El Cajon, CA 92021-7027 | 2020-10-13 |
| 1144850108 | Sam Yousif | Pharmacist | 1025 Avocado Ave, El Cajon, CA 92020-6406 | 2020-01-17 |
| 1063051548 | Ialet Martani | Pharmacist | 792 Avocado Ave Unit 74, El Cajon, CA 92020-6462 | 2019-12-31 |
| 1356980387 | Saba Khoudor | Pharmacist | 11521 Fury Ln Unit 82, El Cajon, CA 92019-4339 | 2019-12-20 |
| 1952868994 | Daniel Abro | Pharmacist | 2130 Hidden Mesa Rd, El Cajon, CA 92019-3600 | 2019-02-26 |
| 1023572518 | Hani Maroki | Pharmacist | 1000 S Mollison Ave Unit 15, El Cajon, CA 92020-7642 | 2019-01-29 |
| 1144744475 | Sarah Kala | Pharmacist | 505 N Mollison Ave #102, El Cajon, CA 92021 | 2017-07-28 |
| 1003356056 | Nada Ghaith | Pharmacist | 11981 Via Hacienda, El Cajon, CA 92019-4092 | 2017-02-23 |
| 1063959575 | Tammy Tran | Pharmacist | 161 E Main St Ste 104, El Cajon, CA 92020-3993 | 2017-01-22 |
| 1013452564 | Lana Dalal | Pharmacist | Walmart Pharmacy# 3524,605 Fletcher Pkwy, El Cajon, CA 92020 | 2016-12-19 |
| Find all providers in EL CAJON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.