Yazan Abdullah, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A150401 Issued in CA

Practice address

1501 Superior Ave Ste 208
Newport Beach, CA 92663-3640

Phone

(949) 200-7921

Fax

(949) 200-7925

NPI assigned

Apr 1, 2015

Last updated

Jul 9, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 11, 2022 through Apr 11, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Yazan Abdullah MD MPH

  • Primary Care Clinic/Center
  • Newport Beach, CA
  • NPI 1912409459
  Authorized official Same address or phone

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

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1194110676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 SUPERIOR AVE STE 208",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633640",
            "telephone_number": "949-200-7921",
            "fax_number": "949-200-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 SUPERIOR AVE STE 208",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633640",
            "telephone_number": "949-200-7921",
            "fax_number": "949-200-7925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDULLAH",
        "first_name": "YAZAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-01",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A150401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa N Abaid, M.D., M.P.H.
• Abc Behavioral Co
• Jennifer Lynn Abcede
• Fatimeh Abdallah, P.A.-C
• Mohammed Abdel Rahim, M.B.CH.B
• Leiah C Abellera
• Steven Abelowitz, M.D
• Kathy Simon Abels, PH.D.
• Sina Abhari, MD
• Abhay Parikh, Medical Corporation (Newport Coast Gastroenterology, Inc)

• Internal Medicine Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.