MICHELE YACSO (NPI# 1174931679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
14612 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1551 OCEAN AVE STE. #200 |
City | SANTA MONICA |
State | CA |
Zip Code | 90401-2108 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 90401 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
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 |
Find all providers in SANTA MONICA |
City | SANTA MONICA |
Zip Code | 90401 |
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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.