MICHELE YACSO


Address: 1551 Ocean Ave, Ste. #200, Santa Monica, CA 90401-2108
Phone: 3104340044

MICHELE YACSO (NPI# 1174931679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174931679
Entity Type Individual
Full Name MICHELE YACSO
Practice Address 1551 Ocean Ave
Ste. #200
Santa Monica
CA 90401-2108
Mailing Address Po Box 7001
Tarzana
CA 91357-7001
Practice Telephone 3104340044
Practice Fax Number 8187151722
Mailing Telephone 8188887815
Mailing Fax Number 8187151722
Enumeration Date 2014-07-28
Last Update Date 2014-07-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
14612 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1551 OCEAN AVE
STE. #200
City SANTA MONICA
State CA
Zip Code 90401-2108

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093823346 Seong M. Yoo Podiatrist 1551 Ocean Ave, Suite 200, Santa Monica, CA 90401-2108 2006-08-28
1497121701 Ghozland and Youssef Anesthesia Medical Group Inc Anesthesiology 1551 Ocean Ave, Suite 200, Santa Monica, CA 90401-2108 2015-08-20
1053787366 Ghozland and Youssef A Medical Corp Surgery 1551 Ocean Ave, Ste. 200, Santa Monica, CA 90401-2108 2015-08-20
1376828327 Roshen G Ganesh, Dds, Pdd, Inc Dentist 1551 Ocean Ave, Suite 260, Santa Monica, CA 90401 2011-10-20
1538443163 Ramiro Ganesh Dentist 1551 Ocean Ave, Suite 260, Santa Monica, CA 90401-2108 2011-09-30
1508160474 Barbara Anne Foley Marriage & Family Therapist 1551 Ocean Ave, #230, Santa Monica, CA 90401-2108 2011-01-06
1659698181 Mark Youssef A Medical Corporation Plastic Surgery 1551 Ocean Ave, #200, Santa Monica, CA 90401-2108 2010-04-23
1881855070 Carl Frederick Kugel Marriage & Family Therapist 1551 Ocean Ave, #230, Santa Monica, CA 90401-2108 2008-06-19
1225200637 Mark Magdy Youssef Obstetrics & Gynecology 1551 Ocean Ave, Ste.#200, Santa Monica, CA 90401-2108 2008-03-25
1831316959 Ronald Alexander Psychologist 1551 Ocean Ave, Ste #230, Santa Monica, CA 90401-2108 2007-04-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013499458 Franchesca Johnson Gordon Marriage & Family Therapist 900 Wilshire Blvd., Ste. 450, Santa Monica, CA 90401 2018-09-01
1629564083 Michelle Jillian Dolinsky Social Worker 1243 7th St Ste C, Santa Monica, CA 90401 2018-07-09
1528507084 Doctor Tlc, License Clinical Psychologist, Inc. Community/Behavioral Health 1242 Third St Promenade, Suite 208, Santa Monica, CA 90401 2017-02-16
1285006023 Venessa Leeann Roca Speech-Language Pathologist 1218 6th Street, Santa Monica, CA 90401 2015-10-20
1720468036 Stephen J. Kenneally Marriage & Family Therapist 610 Santa Monica Bvd, Ste. 201, Santa Monica, CA 90401 2015-06-02
1629458070 Dominique L Robertson Marriage & Family Therapist 530 Wilshire, #310, Santa Monica, CA 90401 2015-06-01
1205252673 Santa Monica Sports Medicine Inc. Physical Medicine & Rehabilitation 900 Wilshire Blvd. #410, Santa Monica, CA 90401 2014-03-10
1154675023 Sherry Marie Martyn Psychologist 1242 3rd Street Promenade Ste 208, Santa Monica, CA 90401 2012-10-31
1700159829 Gary Warburton Dentist 519 Arizona Ave., Santa Monica, CA 90401 2012-02-21
1265713036 Aleksandr Mailyan Reflexologist 201 Wilshire Blvd #101, Santa Monica, CA 90401 2011-09-07
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558997957 Sarah Lubinsky Physician Assistant 1511 Montana Ave, Santa Monica, CA 90403-1891 2020-03-17
1700261682 Soha Ebneyamin Physician Assistant 1537 15th St Apt 106, Santa Monica, CA 90404-3351 2015-07-21
1407176910 Rene Farahmandian Physician Assistant 2021 Santa Monica Blvd Ste 600e, Santa Monica, CA 90404-2166 2010-06-07
1730412529 Mari Patricia Freeman Physician Assistant 2021 Santa Monica Blvd 520e, Santa Monica, CA 90404 2009-09-10
1659466001 Pinky R Thakkar Physician Assistant 2121 Santa Monica Blvd., Santa Monica, CA 90404 2006-10-03
1922050392 Natasha Wright Physician Assistant 1331 Wilshire Blvd, Santa Monica, CA 90403-5410 2006-05-16
1063777217 Carolyn Gayle Goble Physician Assistant 2020 Santa Monica Blvd, Suite 400, Santa Monica, CA 90404-2023 2012-07-12
1831482744 Lauren Gorence Physician Assistant 1811 Wilshire Blvd Ste 201, Santa Monica, CA 90403-5626 2011-05-25
1912045022 Angelina Yoon Snyder Physician Assistant 1711 Ocean Park Blvd, Santa Monica, CA 90405-4901 2007-02-01
1164560264 Philomina Eyong Physician Assistant 1711 Ocean Park Blvd, Santa Monica, CA 90405-4901 2007-02-01
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Competitor

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City SANTA MONICA
Zip Code 90401

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Dataset Information

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.

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