Individual provider Active NPI

Ereny Francis Yakoub, PA-C

  • Medical Physician Assistant
  • Bakersfield, CA
National Provider Identifier
1235483033
Registry record updated Dec 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA61653 Issued in CA
Practice address
4600 Panama LN
Bakersfield, CA 93313-3509
Phone
(866) 707-6664
NPI assigned
Oct 31, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2260 TN
Surgical Physician Assistant 363AS0400X 2260 TN
Medical Physician Assistant 363AM0700X PA61653 CA Primary

Addresses

Primary practice location

4600 Panama LN
Bakersfield, CA 93313-3509

Mailing address

4803 Pelican Hill Dr
Bakersfield, CA 93312-3984

Other names 1

  • Ms. Ereny Francis Morcos Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130109000272 TN Practitioner - Physician Assistant 6608029335
I20221118001991 CA Practitioner - Physician Assistant 6608029335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omni Family HealthGroup PAC ID 9234176363, 93 clinicians

Practice addresses (Care Compare)

1701 Stine Rd
Suite 102B
Bakersfield, CA 93309-4827
Phone (866) 707-6664

277 E Front St
Buttonwillow, CA 93206-0917
Phone (866) 707-6664

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2260TNMDOccupational Therapy Assistant
PA61653CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Family Health CurrentSince Oct 17, 2022 Accepting new patients
Omni Family Health CurrentSince Oct 17, 2022 Accepting new patients
Omni Family Health PastSince Oct 2, 2022 Accepting new patients
Omni Family Health Past Accepting new patients
Omni Family Health PastSince Oct 2, 2022 Accepting new patients

Locations

4131 Ming Ave
Bakersfield, CA 93309

4900 California Ave
Ste 400B
Bakersfield, CA 93309
Phone (661) 630-7046

4600 Panama Ln
Unit 102B
Bakersfield, CA 93313
Phone (661) 630-7732

1701 Stine Rd
Bakersfield, CA 93309
Phone (661) 770-3317

277 E Front St
Buttonwillow, CA 93206
Phone (661) 630-7381

355 Campus Dr
Ste E
Hanford, CA 93230
Phone (559) 584-0668

925 G St
Reedley, CA 93654
Phone (559) 558-9712

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ereny.yakoub.p1@direct.omnifamilyhealth.nextgenshare.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1351641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1235483033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4803 PELICAN HILL DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933123984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 PANAMA LN",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933133509",
            "telephone_number": "866-707-6664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAKOUB",
        "first_name": "ERENY",
        "middle_name": "FRANCIS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-31",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "2260",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TN",
            "license": "2260",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA61653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERENY",
            "last_name": "MORCOS",
            "middle_name": "FRANCIS",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.