Individual provider Active NPI

Youssef S Tanagho, MD, MPH

  • Urology Physician
  • Coronado, CA
National Provider Identifier
1003029372
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
A125924 Issued in CA
Practice address
131 Orange Ave Ste 101B
Coronado, CA 92118-1408
Phone
(619) 522-0399
NPI assigned
May 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 2011012612 MO
Urology Physician 208800000X A125924 CA Primary

Addresses

Primary practice location

131 Orange Ave Ste 101B
Coronado, CA 92118-1408

Mailing address

PO Box 15655
Beverly Hills, CA 90209-1655
Phone (323) 236-4709

Other practice location 1

2080 Century Park E Ste 710
Century City, CA 90067-2010
Phone (310) 715-3237

Other practice location 2

14860 Roscoe Blvd Ste 200
Panorama City, CA 91402-4683
Phone (310) 553-5203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131111000729 CA Practitioner - Urology 3577731264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Geisel School of Medicine at Dartmouth, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Innovative Medical Solutions Inc a Medical GroupGroup PAC ID 5294783080, 37 clinicians

Practice addresses (Care Compare)

14860 Roscoe Blvd
Suite 200
Panorama City, CA 91402-4683
Phone (310) 553-5203

Hospital & facility affiliations

  • Sharp Coronado Hospital and Hlthcr Ctr Hospital, Coronado, CA, CCN 050234

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A125924CAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Medical Solutions Inc a Medical Group CurrentSince Nov 20, 2023 Accepting new patients
Washington University Past Accepting new patients
Southern California Liver Centers Inc Past Accepting new patients

Locations

8920 Wilshire Blvd
Ste 310
Beverly Hills, CA 90211
Phone (310) 256-2426

2436 Fenton St
#100
Chula Vista, CA 91914
Phone (619) 377-8391

2080 Century Park E
Ste 710
Los Angeles, CA 90067
Phone (310) 203-9818

2080 Century Park E
Ste 1200
Los Angeles, CA 90067
Phone (310) 277-8900

14850 Roscoe Blvd
Ste 200
Panorama City, CA 91402

14860 Roscoe Blvd
Ste 200
Panorama City, CA 91402
Phone (818) 830-7751

131 Orange Ave
Ste 101B
San Diego, CA 92118
Phone (619) 522-0399

14850 Roscoe Blvd
Van Nuys, CA 91402
Phone (818) 787-2222

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1003029372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15655",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902091655",
            "telephone_number": "323-236-4709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 ORANGE AVE STE 101B",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921181408",
            "telephone_number": "619-522-0399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2080 Century Park E Ste 710",
            "address_purpose": "LOCATION",
            "city": "Century City",
            "state": "CA",
            "postal_code": "900672010",
            "country_code": "US",
            "telephone_number": "310-715-3237",
            "fax_number": "213-528-7373",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14860 Roscoe Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Panorama City",
            "state": "CA",
            "postal_code": "914024683",
            "country_code": "US",
            "telephone_number": "310-553-5203",
            "fax_number": "213-528-7373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANAGHO",
        "first_name": "YOUSSEF",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MO",
            "license": "2011012612",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A125924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coronado, CA

Sources for this page

Verify at the official NPI Registry.