LAURENCE GLENN YELLEN (NPI# 1477680551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477680551 |
| Entity Type | Individual |
| Full Name | LAURENCE GLENN YELLEN |
| Credential | MD |
| Practice Address |
5555 Reservoir Drive Suite 209 San Diego CA 92120-5186 |
| Practice Telephone | 6195822404 |
| Practice Fax Number | 6195822915 |
| Mailing Telephone | 6195822404 |
| Mailing Fax Number | 6195822915 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2008-03-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
G015453 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZZ74366 | 05 | |
| DEA | AY7319672 | 01 | |
| CA | STATE LICENSE | G015453 | 01 |
| Street Address |
5555 RESERVOIR DRIVE SUITE 209 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92120-5186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063476646 | Habib Anwar Md | Urology | 5555 Reservoir Drive, Suite 206, San Diego, CA 92120 | 2006-04-12 |
| 1801258843 | Karl Sun, M.d. Inc. | Nuclear Medicine | 5555 Reservoir Drive, Suite 112, San Diego, CA 92120 | 2016-03-28 |
| 1023296092 | Cardiology Associates Medical Group of East San Diego Inc | Internal Medicine | 5555 Reservoir Drive, Suite 209, San Diego, CA 92120 | 2008-02-01 |
| 1154503373 | Harold Copans Md Inc | Internal Medicine | 5555 Reservoir Drive, Suite 112, San Diego, CA 92120-5195 | 2007-11-29 |
| 1215058441 | Irwin Goldstein | Urology | 5555 Reservoir Drive, Suite 300, San Diego, CA 92120-5270 | 2007-04-03 |
| 1104998194 | Thomas R Young | Internal Medicine | 5555 Reservoir Drive, Suite 112, San Diego, CA 92120-5195 | 2006-11-14 |
| 1548332539 | Richard Alan Katz | Internal Medicine | 5555 Reservoir Drive, Suite 112, San Diego, CA 92120-5195 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550510 | Jessica Elizabeth Knight | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Ct, 310, San Diego, CA 92120 | 2020-08-26 |
| 1770195091 | Julia Roccanova | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Court, Suite 310, San Diego, CA 92120 | 2020-08-18 |
| 1225593601 | Truself Training, Inc | Clinic/Center | 5125 Waring Road, San Diego, CA 92120 | 2019-02-09 |
| 1508381799 | Antin Sachs | In Home Supportive Care | 4420 Rainier Avenue, Suite 202, San Diego, CA 92120 | 2017-08-08 |
| 1588186415 | Matthew B Wilbat | Behavioral Analyst | 6851 Alvarado Rd., #17, San Diego, CA 92120 | 2017-07-12 |
| 1548782923 | Mori Khatibzadeh Dds Inc. | Clinic/Center | 6171 Mission Gorge Road, Suite #114, San Diego, CA 92120 | 2017-07-07 |
| 1306379359 | Ken Samith Oerding | Nurse Practitioner | 5422 Reservoir Drive, E7, San Diego Ca, CA 92120 | 2017-04-06 |
| 1396134409 | Debra Michele Stern-ellis | Social Worker | 4647 Zion Avenue Kaiser Permanente, 2nd Floor - Oncology, San Diego, CA 92120 | 2015-01-13 |
| 1821494717 | Shohreh Tourian | Dentist | 7451 Mission Gorge Road, San Diego, CA 92120 | 2014-11-05 |
| 1184049215 | Charles Yin | Counselor | 6153 Fairmount Ave Suite #260, San Diego, CA 92120 | 2014-02-26 |
| Find all providers in zip 92120 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386113348 | Samir B Damani Md Inc | Internal Medicine | 9191 Towne Centre Dr Ste 510, San Diego, CA 92122-1231 | 2018-11-20 |
| 1861757544 | Kevin Shah | Internal Medicine | 200 W Arbor Dr # 8422, San Diego, CA 92103-1911 | 2012-07-10 |
| 1790084143 | Vartan Nubar Garibyan | Internal Medicine | 4060 4th Ave Ste 500, San Diego, CA 92103-2121 | 2011-03-24 |
| 1780846881 | Julia G Ansari | Internal Medicine | 3131 Berger Ave Ste 200, San Diego, CA 92123-4203 | 2008-06-30 |
| 1902005176 | Stanley D. Skaggs, M.d. Inc | Internal Medicine | 12985 Claymont Ct, San Diego, CA 92130-2431 | 2007-07-17 |
| 1609906841 | Laurence Dekanter Favrot | Internal Medicine | 3526 7th Ave, San Diego, CA 92103-5009 | 2007-03-06 |
| 1649314873 | Julian Howard Jacobs | Internal Medicine | 14107 Capewood Ln, San Diego, CA 92128-4208 | 2007-02-19 |
| 1811063316 | Daniel Robert Collins | Internal Medicine | 4647 Zion Ave., San Diego, CA 92120-3724 | 2006-11-27 |
| 1366523607 | H Kirk Hammond | Internal Medicine | 3350 La Jolla Village Dr # 111a, San Diego, CA 92161-0002 | 2006-10-17 |
| 1962598425 | Tri Thuong Nguyen | Internal Medicine | 4344 Convoy St. Ste T ., San Diego, CA 92111-3737 | 2006-10-04 |
| Find all providers in SAN DIEGO | ||||
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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.