Active NPI
Mark Uy
- Psychiatric/Mental Health Nurse Practitioner
- Salinas, CA
National Provider Identifier
1073308706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95034555
- Practice address
- 1764 Windsor St
Salinas, CA 93906-7221 - Phone
- (831) 261-6677
- NPI assigned
- Apr 12, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95034555 | CA | Primary |
Addresses
Primary practice location
1764 Windsor St
Salinas, CA 93906-7221
Mailing address
1764 Windsor St
Salinas, CA 93906-7221
Phone (831) 261-6677
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1764 Windsor St
Salinas, CA 93906-7221
PO Box
Suite 451249
Los Angeles, CA 90045
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95034555 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ehab Yacoub MD Inc. | Single Specialty | Current | Accepting new patients |
Locations
1370 Valley Vista Dr
Ste 200
Diamond Bar, CA 91765
Phone (310) 981-8227
1225 W 190th St
Ste 280
Gardena, CA 90248
Phone (310) 515-8113
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.
-
- Child & Adolescent Psychiatry Physician
- Gardena, CA
- NPI 1417373713
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744416000000",
"number": "1073308706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1764 WINDSOR ST",
"city": "SALINAS",
"state": "CA",
"postal_code": "939067221",
"telephone_number": "831-261-6677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1764 WINDSOR ST",
"city": "SALINAS",
"state": "CA",
"postal_code": "939067221",
"telephone_number": "831-261-6677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UY",
"first_name": "MARK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-04-12",
"last_updated": "2025-04-12",
"certification_date": "2025-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95034555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salinas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.