Individual provider Active NPI

Steve Youssefian, M.D.

  • Family Medicine Physician
  • San Dimas, CA
National Provider Identifier
1043698707
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A155979 Issued in CA
Practice address
1125 Via Verde
San Dimas, CA 91773-4400
Phone
(909) 592-9778
Fax
(909) 599-6126
NPI assigned
May 14, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A155979 CA Primary
Family Medicine Physician 207Q00000X MT208388 PA

Addresses

Primary practice location

1125 Via Verde
San Dimas, CA 91773-4400

Mailing address

PO Box 4039
Orange, CA 92863-4039
Phone (714) 571-5000

Other practice location 1

315 N 3rd Ave
Covina, CA 91723-1905
Phone (626) 967-4469

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
I20181206002674 CA Practitioner - Family Practice 9931492691 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Emanate Health Medical Care FoundationGroup PAC ID 9830544980, 85 clinicians

Practice addresses (Care Compare)

1115 S Sunset Ave
West Covina, CA 91790-3940

315 N 3Rd Ave
Suite 207
Covina, CA 91723-1917
Phone (626) 967-4469

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A155979CAMDFamily Medicine Physician
MT208388PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Affiliates Medical Group Family Medicine CurrentSince Sep 5, 2018 Accepting new patients
Emanate Health Medical Group Family Medicine Current Accepting new patients
Emanate Health Medical Care Foundation CurrentSince Jan 1, 2024 Accepting new patients
Emanate Health Medical Group CurrentSince Feb 3, 2023 Accepting new patients
Citrus Valley Physician Partners CurrentSince Feb 3, 2023 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Sep 5, 2018 Accepting new patients
Southern California Colon and Rectal Medical Group Inc PastSince Feb 1, 2023 Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

315 N 3rd Ave
Ste 207
Covina, CA 91723
Phone (626) 915-4700

420 W Rowland St
Covina, CA 91723
Phone (626) 331-6411

210 W San Bernardino Rd
Covina, CA 91723
Phone (626) 858-8580

440 W Foothill Blvd
Glendora, CA 91741
Phone (626) 963-9402

601 Torrance Blvd
#1182
Redondo Beach, CA 90277

1125 Via Verde
San Dimas, CA 91773
Phone (909) 592-8170

1115 S Sunset Ave
Ste 200
West Covina, CA 91790
Phone (626) 732-8390

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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 5

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": "1431561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1043698707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4039",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928634039",
            "telephone_number": "714-571-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 VIA VERDE",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917734400",
            "telephone_number": "909-592-9778",
            "fax_number": "909-599-6126"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 N 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Covina",
            "state": "CA",
            "postal_code": "917231905",
            "country_code": "US",
            "telephone_number": "626-967-4469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUSSEFIAN",
        "first_name": "STEVE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-14",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A155979",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT208388",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Dimas, CA

Sources for this page

Verify at the official NPI Registry.