Active NPI
Nader Michel Yacoub, MD
- Hospice and Palliative Medicine (Family Medicine) Physician
- La Puente, CA
National Provider Identifier
1194848580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician
- License
- A40916
- Practice address
- 14282 Amar Rd
La Puente, CA 91746-2162 - Phone
- (626) 917-4481
- Fax
- (626) 917-4462
- NPI assigned
- Apr 9, 2007
- Last updated
- Sep 17, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | A40916 | CA | Primary |
Addresses
Primary practice location
14282 Amar Rd
La Puente, CA 91746-2162
Mailing address
14282 Amar Rd
La Puente, CA 91746-2162
Phone (626) 917-4481
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120214000432 | CA | Practitioner - Family Practice | 7911164306 | Practice locations: La Puente, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474070400000",
"number": "1194848580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14282 AMAR RD",
"city": "LA PUENTE",
"state": "CA",
"postal_code": "917462162",
"telephone_number": "626-917-4481",
"fax_number": "626-917-4462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14282 AMAR RD",
"city": "LA PUENTE",
"state": "CA",
"postal_code": "917462162",
"telephone_number": "626-917-4481",
"fax_number": "626-917-4462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YACOUB",
"first_name": "NADER",
"middle_name": "MICHEL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-09",
"last_updated": "2016-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "207QH0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": "CA",
"license": "A40916",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Puente, CA
- Wings of Refuge, Inc. (Wings of Recovery-Bassett Highschool)
- Wings of Refuge,Inc. (Wings of Recovery-Nueva Vista Highschool)
- Janice Lee Womack, MFT
- Man Pong Jason Wu
- Chun Xia Xu, LAC
- Yen Hai Duong, DDS & Jimmy Tran, DMD, Inc. (City Dental Westminster)
- Gopal Reddy Yeturu, DDS
- Ym Life Tree Inc
- Seunghoon Yoo, L.AC
- Kai Jung Yu
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.