Individual provider Active NPI

Yasser Shaweesh, M.D.

  • Internal Medicine Physician
  • Glendale, CA
National Provider Identifier
1194106617
Registry record updated Sep 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A154592 Issued in CA
Practice address
700 N Brand Blvd Ste 1400
Glendale, CA 91203-4263
Phone
(818) 839-5200
NPI assigned
Jun 10, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A154592 CA Primary

Addresses

Primary practice location

700 N Brand Blvd Ste 1400
Glendale, CA 91203-4263

Mailing address

700 N Brand Blvd Ste 1400
Glendale, CA 91203-4263
Phone (818) 839-5200

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
I20180615000340 CA Practitioner - Internal Medicine 2961700828 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sycamore Hill Hospitalist Medical Group IncGroup PAC ID 1951646249, 16 clinicians

Practice addresses (Care Compare)

1300 N Vermont Ave
Los Angeles, CA 90027-6098
Phone (213) 413-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
94.47
Improvement activities
40
Cost
80.32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A154592CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sycamore Hill Hospitalist Medical Group Inc CurrentSince Sep 5, 2020 Accepting new patients
Cedar Springs Hospitalist Medical Group, Inc. CurrentSince Apr 20, 2022 Accepting new patients

Locations

1420 S Central Ave
Glendale, CA 91204
Phone (818) 502-1900

1300 N Vermont Ave
Los Angeles, CA 90027
Phone (213) 413-3000

Organizations & group practices 2

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": "1433894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1194106617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N BRAND BLVD STE 1400",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034263",
            "telephone_number": "818-839-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N BRAND BLVD STE 1400",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034263",
            "telephone_number": "818-839-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAWEESH",
        "first_name": "YASSER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-10",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A154592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.