Yakov Yushuvayev

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Practice address

420 E Southern Ave Ste 110a
Mesa, AZ 85204-4945

Phone

(480) 397-9610

Fax

(480) 397-9611

NPI assigned

Jul 30, 2018

Last updated

Jul 30, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Grand Canyon Home Care Inc.

  dba grand canyon home care - MESA

  • Attendant Care Provider
  • Mesa, AZ
  • NPI 1295213544
  NPD (past) Authorized official
• Grand Canyon Home Care Inc.

  • Attendant Care Provider
  • Phoenix, AZ
  • NPI 1972805679
  Authorized official Same address or phone

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1225516578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13201 N 35TH AVE STE 4B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850291231",
            "telephone_number": "602-795-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E SOUTHERN AVE STE 110A",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852044945",
            "telephone_number": "480-397-9610",
            "fax_number": "480-397-9611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUSHUVAYEV",
        "first_name": "YAKOV",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-30",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "568006",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Youth Investments LLC
• Kensive Yu-Nguyen, ND
• Shela C Yu, LMT
• Stephanie Peishan Yu, PA-C
• Jennifer Yuen, D.O.
• Yuwellnes LLC
• Zach Hentges Enterprises (Hentges Dental)
• Joseph K Zachariah, DO
• Daniel Dwain Zacharias, BA, CLINICIAN I
• Leila Zadeh

• Attendant Care Provider in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Attendant Care Provider in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.