Active NPI
Doreen Yasharel
- Medical Physician Assistant
- Los Angeles, CA
National Provider Identifier
1184080459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 2002072
- Practice address
- 824 S Wooster St Apt 306
Los Angeles, CA 90035-1745 - Phone
- (310) 270-5236
- NPI assigned
- Jan 2, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 2002072 | CA | Primary |
Addresses
Primary practice location
824 S Wooster St Apt 306
Los Angeles, CA 90035-1745
Mailing address
PO Box 35421
Los Angeles, CA 90035-0421
Phone (310) 270-5236
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53113 | CA | MD | Pharmacist |
| 2002072 | CA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451692800000",
"number": "1184080459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35421",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900350421",
"telephone_number": "310-270-5236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "824 S WOOSTER ST APT 306",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900351745",
"telephone_number": "310-270-5236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YASHAREL",
"first_name": "DOREEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-02",
"last_updated": "2016-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "2002072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.