Individual provider Active NPI

Enas Rashid Yassin, MD,BSN, NP-C

  • Nurse Practitioner
  • Burlingame, CA
National Provider Identifier
1245597640
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP95027385 Issued in CA
Practice address
1850 El Camino Real Ste 200
Burlingame, CA 94010-3102
Phone
(650) 697-2431
Fax
(650) 697-3659
NPI assigned
Apr 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X NP95027385 CA
Gerontology Nurse Practitioner 363LG0600X NP95027385 CA
Nurse Practitioner 363L00000X NP95027385 CA Primary

Addresses

Primary practice location

1850 El Camino Real Ste 200
Burlingame, CA 94010-3102

Mailing address

1850 El Camino Real Ste 200
Burlingame, CA 94010-3102
Phone (650) 697-2431

Other practice location 1

2 Lower Ragsdale Dr Ste 160
Monterey, CA 93940-5840
Phone (831) 717-4687

Other identifiers 1

IdentifierTypeStateIssuer
NP95027385OtherCALICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, VA, CA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20230316001577 MO Practitioner - Nurse Practitioner 5294978219 Reassigns benefits to 1 organization
I20240327002177 VA Practitioner - Internal Medicine 5294978219 Reassigns benefits to 1 organization
I20240807003923 CA Practitioner - Nurse Practitioner 5294978219 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Doctor of Medicine, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95027385CAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mrs Health Care LLC CurrentSince May 1, 2024 Accepting new patients
Golden State Heart & Vascular Associates CurrentSince Aug 7, 2024 Accepting new patients
First Care PC CurrentSince May 1, 2024 Accepting new patients
Advanced Heart Care PastSince Jan 1, 2024 Accepting new patients

Locations

1850 El Camino Real
#200
Burlingame, CA 94010
Phone (650) 697-2431

2 Lower Ragsdale Dr
Ste 160
Monterey, CA 93940
Phone (831) 717-4687

2490 Hospital Dr
Ste 106
Mountain View, CA 94040
Phone (650) 695-0955

65 Nielson St
Ste 135
Watsonville, CA 95076
Phone (831) 717-4687

501 Baylor Ct
Ste 200
Chesapeake, VA 23320
Phone (757) 991-0190

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12464/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1335139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1245597640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 EL CAMINO REAL STE 200",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103102",
            "telephone_number": "650-697-2431",
            "fax_number": "650-697-3659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 EL CAMINO REAL STE 200",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103102",
            "telephone_number": "650-697-2431",
            "fax_number": "650-697-3659"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Lower Ragsdale Dr Ste 160",
            "address_purpose": "LOCATION",
            "city": "Monterey",
            "state": "CA",
            "postal_code": "939405840",
            "country_code": "US",
            "telephone_number": "831-717-4687",
            "fax_number": "831-901-3160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YASSIN",
        "first_name": "ENAS",
        "middle_name": "RASHID",
        "name_prefix": "Dr.",
        "credential": "MD,BSN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-23",
        "last_updated": "2024-07-25",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "NP95027385",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "NP95027385",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP95027385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "NP95027385",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "1 Barnes Jewish Hospital Plz",
            "address_2": "Div IM Cardiology",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631101003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burlingame, CA

Sources for this page

Verify at the official NPI Registry.