Nadine H. Yassa, M.D., Inc.

Primary specialty

Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X

Legal business name

NADINE H. YASSA, M.D., INC.

Practice address

991 Reserve Dr
Suite a
Roseville, CA 95678-1350

Phone

(916) 789-8811

Fax

(916) 789-8809

NPI assigned

Oct 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Nadine H Yassa, M.D.NPI 1689656647

Title

President

Phone

(916) 789-8811

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Nadine H Yassa, MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • Roseville, CA
  • NPI 1689656647
  Medicare reassignment NPD Authorized official
• Anthony Kelada, M.D.

  • Psychiatry Physician
  • Roseville, CA
  • NPI 1659790624
  NPD (past)

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1265620405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "991 RESERVE DR",
            "address_2": "SUITE A",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956781350",
            "telephone_number": "916-789-8811",
            "fax_number": "916-789-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 RESERVE DR",
            "address_2": "SUITE A",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956781350",
            "telephone_number": "916-789-8811",
            "fax_number": "916-789-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NADINE H. YASSA, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "YASSA",
        "authorized_official_first_name": "NADINE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-789-8811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP #",
            "identifier": "DC6073",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wonnie Myrick
• Sara Nabhan Shati Nabhan, O.D.
• Caroline Fikri Nabil, RPH
• Tavon Naddaf
• Roxana Naderi, M.D.
• Hari Nagaraj, M.D.
• Noriko Nagato, LAC
• Jodi Beth Nagelberg, M.D.
• Kiranpreet Kaur Nagra, MD
• Ana Nagy, RADT

• Neurology with Special Qualifications in Child Neurology Physician in Roseville, CA
• Providers in Roseville, CA by specialty
• Neurology with Special Qualifications in Child Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.