Individual provider Active NPI

Anisa M Yalom, MD

  • Surgery of the Hand (Surgery) Physician
  • San Marcos, CA
National Provider Identifier
1164679908
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Surgery) PhysicianTaxonomy code 2086S0105X
License
A109991 Issued in CA
Practice address
277 Rancheros Dr Ste 101
San Marcos, CA 92069-2976
Phone
(760) 750-1902
Fax
(760) 635-7801
NPI assigned
Aug 22, 2008
Last updated
Dec 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Surgery) Physician 2086S0105X A109991 CA Primary

Addresses

Primary practice location

277 Rancheros Dr Ste 101
San Marcos, CA 92069-2976

Mailing address

277 Rancheros Dr Ste 101
San Marcos, CA 92069-2976
Phone (760) 750-1902

Other practice location 1

8901 Activity Rd
San Diego, CA 92126-4432
Phone (844) 627-4763

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110928000620 CA Practitioner - General SurgeryPractitioner - Hand Surgery 5799956405 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A109991CAMDSurgery of the Hand (Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency and Acute Care Medical Corporation Multi-Specialty CurrentSince Mar 6, 2020 Accepting new patients
Scripps Health Multi-Specialty Current Accepting new patients
Health Allies Clinic Inc Multi-Specialty CurrentSince Sep 15, 2021 Accepting new patients
Anisa M Yalom MD Inc Multi-Specialty CurrentSince Jul 12, 2022 Accepting new patients
Crescent Wound Care Inc Multi-Specialty CurrentSince Mar 30, 2024 Accepting new patients
James J Chao MD Facs a Professional Corporation Multi-Specialty CurrentSince Aug 24, 2019 Accepting new patients
Crescent Wound Care Inc Multi-Specialty CurrentSince Mar 30, 2024 Accepting new patients
On Call Specialists Medical Group of San Diego, Inc. Multi-Specialty CurrentSince Oct 1, 2021 Accepting new patients
Crescent Wound Care Inc Multi-Specialty Past Accepting new patients

Locations

442 Sunset Blvd
Cherryland, CA 94541
Phone (510) 582-8311

499 N El Camino Real
Ste C200
Encinitas, CA 92024
Phone (760) 635-7800

5580 La Jolla Blvd
La Jolla, CA 92037
Phone (619) 438-4119

1310 W Granger Ave
Modesto, CA 95350
Phone (209) 473-3896

4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245

5395 Ruffin Rd
Ste 102
San Diego, CA 92123
Phone (858) 569-8959

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

8901 Activity Rd
San Diego, CA 92126
Phone (844) 627-4763

8901 Activity Rd
Ste 102
San Diego, CA 92126
Phone (844) 627-4763

277 Rancheros Dr
Ste 101
San Marcos, CA 92069
Phone (760) 420-2331

1630 N Edison St
Stockton, CA 95204
Phone (209) 948-8762

27699 Jefferson Ave
Ste 201
Temecula, CA 92590
Phone (602) 421-4204

650 E Devon Ave
Ste 165
Itasca, IL 60143
Phone (630) 285-1040

Interoperability endpoints

  • Direct secure messaging: ayalom319768@scrippshlth.medalliesdirect.net
  • FHIR API: https://api.platform.athenahealth.com/10269/brand/2/csg/1/fhir/r4

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1219363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1164679908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 RANCHEROS DR STE 101",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920692976",
            "telephone_number": "760-750-1902",
            "fax_number": "760-635-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 RANCHEROS DR STE 101",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920692976",
            "telephone_number": "760-750-1902",
            "fax_number": "760-635-7801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8901 Activity Rd",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921264432",
            "country_code": "US",
            "telephone_number": "844-627-4763",
            "fax_number": "760-635-7801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YALOM",
        "first_name": "ANISA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-22",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "CA",
            "license": "A109991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, CA

Sources for this page

Verify at the official NPI Registry.