Individual provider Active NPI

Mirella Younes, MD

  • Family Medicine Physician
  • Visalia, CA
National Provider Identifier
1164718896
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A127901 Issued in CA
Practice address
3622 W Packwood Ave
Visalia, CA 93277-5010
Phone
(559) 382-3820
Fax
(559) 224-1012
NPI assigned
Jun 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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 A127901 CA Primary

Addresses

Primary practice location

3622 W Packwood Ave
Visalia, CA 93277-5010

Mailing address

3622 W Packwood Ave
Visalia, CA 93277-5010
Phone (559) 382-3820

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
I20180228000242 CA Practitioner - General Practice 4082854427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
New York Medical College, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marwan Zoghbi MD IncGroup PAC ID 8628335148, 2 clinicians

Practice addresses (Care Compare)

3622 W Packwood Ave
Visalia, CA 93277-5010
Phone (559) 382-3820

Hospital & facility affiliations

  • Kaweah Health Medical Center Hospital, Visalia, CA, CCN 050057
  • Adventist Health Tulare Hospital, Tulare, CA, CCN 050784

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
127901CAMDMarriage & Family Therapist
A127901CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marwan Zoghbi MD Inc CurrentSince Feb 1, 2018 Accepting new patients

Locations

3632 W Packwood Ave
Visalia, CA 93277
Phone (559) 734-6701

3622 W Packwood Ave
Visalia, CA 93277
Phone (559) 382-3820

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.

Hospital & facility affiliations 2

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": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1164718896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3622 W PACKWOOD AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932775010",
            "telephone_number": "559-382-3820",
            "fax_number": "559-224-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3622 W PACKWOOD AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932775010",
            "telephone_number": "559-382-3820",
            "fax_number": "559-224-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNES",
        "first_name": "MIRELLA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-21",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A127901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.