NPIMap

Individual provider Active NPI

Sara Yusufaly

  • Internal Medicine Physician
  • Lake Elsinore, CA
National Provider Identifier
1043745185
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A161743 Issued in CA
Practice address
31739 Riverside Dr Ste A1
Lake Elsinore, CA 92530-7818
Phone
(951) 245-0505
Fax
(951) 245-0999
NPI assigned
Apr 26, 2017
Last updated
Apr 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A161743 CA Primary

Addresses

Primary practice location

31739 Riverside Dr Ste A1
Lake Elsinore, CA 92530-7818

Mailing address

36243 Inland Valley Dr Ste 170
Wildomar, CA 92595-9548

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200619001543 CA Practitioner - Internal Medicine 3779905740 Reassigns benefits to 2 organizations
Practice locations: Newport Beach, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Missouri, Kansas City, School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Galen Inpatient Physicians PCGroup PAC ID 3678464633, 1,045 clinicians
Acute Care Associates of California PCGroup PAC ID 2668812215, 55 clinicians

Practice addresses (Care Compare)

1 Hoag Dr
Newport Beach, CA 92663-4162
Phone (949) 764-4624

10 Woodland Rd
Saint Helena, CA 94574-9554
Phone (707) 963-3611

36485 Inland Valley Dr
Wildomar, CA 92595-9681
Phone (951) 677-1111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.4 of 100Reported as group
Quality
65.6
Improvement activities
40
Cost
71.06

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A161743CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Acute Care Associates of California PC Internal Medicine CurrentSince Dec 22, 2024 Accepting new patients
Galen Inpatient Physicians PC CurrentSince Apr 1, 2023 Accepting new patients
Galen Inpatient Physicians, PC Current Accepting new patients
Galen Inpatient Physicians, PC CurrentSince Apr 1, 2023 Accepting new patients
Sports Medicine Grant, Inc Past Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

38600 Medical Center Dr
Palmdale, CA 93551
Phone (661) 382-5000

10 Woodland Rd
Saint Helena, CA 94574
Phone (707) 261-7821

869 N Cherry St
Tulare, CA 93274
Phone (559) 326-2800

36485 Inland Valley Dr
Wildomar, CA 92595
Phone (909) 677-9778

Organizations & group practices 5

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

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": "1493164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1043745185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36243 INLAND VALLEY DR STE 170",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925959548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31739 RIVERSIDE DR STE A1",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925307818",
            "telephone_number": "951-245-0505",
            "fax_number": "951-245-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUSUFALY",
        "first_name": "SARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-26",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A161743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Elsinore, CA

Sources for this page

Verify at the official NPI Registry.