Provider Demographics
NPI:1598555112
Name:YOUSIF, SADA SALIM (FNP-BC)
Entity type:Individual
Prefix:
First Name:SADA
Middle Name:SALIM
Last Name:YOUSIF
Suffix:
Gender:
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 835
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92022-0835
Mailing Address - Country:US
Mailing Address - Phone:619-723-1766
Mailing Address - Fax:
Practice Address - Street 1:401 W LEXINGTON AVE
Practice Address - Street 2:#835
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92020-4460
Practice Address - Country:US
Practice Address - Phone:619-723-1766
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-07
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95025826363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily