Individual provider Active NPI

Anna Yatsenko, D.C

  • Chiropractor
  • Hesperia, CA
National Provider Identifier
1053600890
Registry record updated Mar 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
31886 Issued in CA
Practice address
11850 Hesperia Rd
Suite 11
Hesperia, CA 92345-2173
Phone
(760) 995-4500
Fax
(760) 995-4501
NPI assigned
Apr 1, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 31886 CA Primary

Addresses

Primary practice location

11850 Hesperia Rd
Suite 11
Hesperia, CA 92345-2173

Mailing address

11850 Hesperia Rd
Suite 11
Hesperia, CA 92345-2173
Phone (760) 995-4500

Other names 1

  • Dr. Anna Yatsenko Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31886CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Hands of Health Chiropractic Chiropractor PastSince Nov 8, 2014 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395964800000",
    "number": "1053600890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11850 HESPERIA RD",
            "address_2": "SUITE 11",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923452173",
            "telephone_number": "760-995-4500",
            "fax_number": "760-995-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11850 HESPERIA RD",
            "address_2": "SUITE 11",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923452173",
            "telephone_number": "760-995-4500",
            "fax_number": "760-995-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATSENKO",
        "first_name": "ANNA",
        "name_prefix": "Ms.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-01",
        "last_updated": "2014-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "31886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "YATSENKO",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hesperia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.