Edwin O. Yellin MD, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

A40190 Issued in CA

Legal business name

EDWIN O. YELLIN MD, INC

Practice address

9549 Melvin Ave
Northridge, CA 91324-2134

Phone

(818) 772-2163

Fax

(818) 772-8131

NPI assigned

Feb 19, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Edwin O. Yellin, MDNPI 1467670307

Title

President

Phone

(818) 772-2163

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edwin O Yellin, MD

  • Infectious Disease Physician
  • Northridge, CA
  • NPI 1467670307
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1266537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627516800000",
    "number": "1235451121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 280220",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913280220",
            "telephone_number": "818-772-2163",
            "fax_number": "818-772-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9549 MELVIN AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913242134",
            "telephone_number": "818-772-2163",
            "fax_number": "818-772-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWIN O. YELLIN MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-19",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A",
        "authorized_official_last_name": "YELLIN",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-772-2163",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A40190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A401900",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1467670307",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edalat Dental Group, Apc
• Elizabeth Eddy-Bertrand, MD
• Stanley Edick, PHARM D
• Kendra Ednacot, DOCTOR OF PHARMACY
• Heidi Ann Edsall, PT
• Efficient Home Health Services, Inc.
• Hannah Christine Eicher
• Rebecca Kraemer Eisenberg, ACSW
• Narineh Eissaian
• Jordan Ektefaie, PT

• Specialist in Northridge, CA
• Providers in Northridge, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.