Sharam Samson Yashar, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A86029 Issued in CA

Practice address

1850 Redondo Ave
Suite 108
Signal Hill, CA 90755-1251

Phone

(562) 498-2131

Fax

(562) 498-2535

NPI assigned

Jul 10, 2006

Last updated

Jan 27, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

University of California, San Diego School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Dermatology Associates of Southern California, Inc

  • Dermatology Physician
  • Signal Hill, CA
  • NPI 1104991603
  Medicare reassignment Authorized official
• Dermatology Associates of Southern California Inc

  • Procedural Dermatology Physician
  • Long Beach, CA
  • NPI 1376769265
  NPD (past) Authorized official
• Long Beach Memorial Medical

  • Rehabilitation Hospital Unit
  • Long Beach, CA
  • NPI 1396791414
  NPD (past)
• The Regents of the University of California

  dba UCLA Dept of Dermatology

  • Dermatology Physician
  • Los Angeles, CA
  • NPI 1568431310
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296086400000",
    "number": "1245264910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 REDONDO AVE",
            "address_2": "SUITE 108",
            "city": "SIGNAL HILL",
            "state": "CA",
            "postal_code": "907551251",
            "telephone_number": "562-498-2131",
            "fax_number": "562-498-2535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 REDONDO AVE",
            "address_2": "SUITE 108",
            "city": "SIGNAL HILL",
            "state": "CA",
            "postal_code": "907551251",
            "telephone_number": "562-498-2131",
            "fax_number": "562-498-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YASHAR",
        "first_name": "SHARAM",
        "middle_name": "SAMSON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2011-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A86029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PPIN #",
            "identifier": "00A860290",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stanley Shawn Wong, AMFT
• David Wu, DPT
• Stephanie Yamada Mitsuuchi, PSYD
• Kai Gabriel Genung Yamamoto, OTR/L
• Kay Yan, M.D.
• Andrew Yorke, PT, MPT
• Marien Guadalupe Zavala, AGAC-NP
• Ronald A Zent, MD
• Fletcher John Zumbusch, PT

• Dermatology Physician in Signal Hill, CA
• Providers in Signal Hill, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.