NPIMap

Individual provider Active NPI

Marybeth Yuskavage, MD

  • Family Medicine Physician
  • Clovis, CA
National Provider Identifier
1093881245
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G76356 Issued in PA
Practice address
221 W Fir Ave
Suite 101
Clovis, CA 93611-0223
Phone
(559) 299-7294
Fax
(559) 299-0641
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G76356 PA Primary

Addresses

Primary practice location

221 W Fir Ave
Suite 101
Clovis, CA 93611-0223

Mailing address

PO Box 28949
Fresno, CA 93729-8949
Phone (559) 228-4200

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
I20050607001001 CA Practitioner - Family Practice 4385687714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Temple University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Foundation Medical GroupGroup PAC ID 0345406294, 282 clinicians

Practice addresses (Care Compare)

221 W Fir Ave
Suite 101
Clovis, CA 93611-0223
Phone (559) 299-7295

2335 E Kashian LN
Fresno, CA 93701-2234

Hospital & facility affiliations

  • Compassionate Care Home Health Agency, LLC Home health agency, Fresno, CA, CCN 058233
  • Community Home Care Home health agency, Fresno, CA, CCN 057248
  • Kure Home Health Home health agency, Clovis, CA, CCN 559543
  • Saint Agnes Home Health and Hospice Home health agency, Fresno, CA, CCN 057135
  • Valley Regional Home Health, Inc Home health agency, Fresno, CA, CCN 059575
  • Clovis Community Medical Center Hospital, Clovis, CA, CCN 050492
  • Community Regional Medical Center Hospital, Fresno, CA, CCN 050060
  • Saint Agnes Medical Center Hospital, Fresno, CA, CCN 050093
  • San Joaquin Valley Rehabilitation Hosp Inpatient rehabilitation facility, Fresno, CA, CCN 053032

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
76356CAMDPharmacist
G76356PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Foundation Medical Group CurrentSince Jun 7, 2019 Accepting new patients
Community Foundation Medical Group Current Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients

Locations

221 W Fir Ave
Ste 101
Clovis, CA 93611
Phone (559) 297-1776

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

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 9

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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1093881245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28949",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937298949",
            "telephone_number": "559-228-4200",
            "fax_number": "559-224-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W FIR AVE",
            "address_2": "SUITE 101",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936110223",
            "telephone_number": "559-299-7294",
            "fax_number": "559-299-0641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUSKAVAGE",
        "first_name": "MARYBETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "G76356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

Verify at the official NPI Registry.