Active NPI
Yusef Sohail Bawa, RCP, RN
- Registered Nurse
- Castaic, CA
National Provider Identifier
1194981027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 553651
- Practice address
- 30374 Cedar Oak LN
Castaic, CA 91384-4775 - Phone
- (661) 295-9753
- Fax
- (661) 295-9753
- NPI assigned
- Jul 30, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 553651 | CA | Primary |
| Critical Care Certified Respiratory Therapist | 2278C0205X | 00016033 | CA |
Addresses
Primary practice location
30374 Cedar Oak LN
Castaic, CA 91384-4775
Mailing address
30374 Cedar Oak LN
Castaic, CA 91384-4775
Phone (661) 295-9753
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 553651 | CA | MD | Registered Nurse |
| 00016033 | CA | MD | Critical Care Certified Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217376000000",
"number": "1194981027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30374 CEDAR OAK LN",
"city": "CASTAIC",
"state": "CA",
"postal_code": "913844775",
"telephone_number": "661-295-9753",
"fax_number": "661-295-9753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30374 CEDAR OAK LN",
"city": "CASTAIC",
"state": "CA",
"postal_code": "913844775",
"telephone_number": "661-295-9753",
"fax_number": "661-295-9753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAWA",
"first_name": "YUSEF",
"middle_name": "SOHAIL",
"name_prefix": "Mr.",
"credential": "RCP, RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-30",
"last_updated": "2008-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "553651",
"primary": true
},
{
"code": "2278C0205X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified, Critical Care",
"state": "CA",
"license": "00016033",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Castaic, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.