Yacoub Medical, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

05D0680379 Issued in CA

Legal business name

YACOUB MEDICAL, INC.

Doing business as

Doctors Urgent Care Medical Group

Practice address

120 S Montebello Blvd
Montebello, CA 90640-4730

Phone

(323) 720-9204

Fax

(323) 720-9208

NPI assigned

Jan 29, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Alexander P Yacoub

Title

Office Manager

Phone

(323) 720-9204

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Doctors Urgent Care Medical Group Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Atef L Yacoub MD3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Yacoub Medical Inc.

  dba Doctors Urgent Care

  • Non-Pharmacy Dispensing Site
  • Montebello, CA
  • NPI 1114365210
  NPD tax ID
• Yacoub Medical, Inc.

  dba Doctors Urgent Care Medical Group

  • General Practice Physician
  • Montebello, CA
  • NPI 1477698512
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Atef Labib Yacoub, M.D.

  • Urology Physician
  • Montebello, CA
  • NPI 1740339894
  NPD (past)

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225929600000",
    "number": "1154508497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S MONTEBELLO BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404730",
            "telephone_number": "323-720-9204",
            "fax_number": "323-720-9208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S MONTEBELLO BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404730",
            "telephone_number": "323-720-9204",
            "fax_number": "323-720-9208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YACOUB MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-11-06",
        "status": "A",
        "authorized_official_last_name": "YACOUB",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "323-720-9204",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "05D0680379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0070010",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctors Urgent Care Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charles B. Worley, PA-C
• Ruth S Wu, D.D.S.
• Wuu Shyong Wu M.D.
• XCB Holdings, Inc. (Bravo Transportation)
• Yacoub Medical Inc. (Doctors Urgent Care)
• Yacoub Medical, Inc. (Doctors Urgent Care Medical Group)
• Atef Labib Yacoub, M.D.
• Vahid Yahoodain, D.D.S
• Bao Bin Yang, MD
• Keumja Yang

• Clinical Medical Laboratory in Montebello, CA
• Providers in Montebello, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.