Stephan Vahe Yacoubian, MD

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

A77306 Issued in CA

Practice address

2625 W Alameda Ave
Ste 116
Burbank, CA 91505-4806

Phone

(818) 841-3936

Fax

(818) 841-5974

NPI assigned

Oct 31, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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

Sports MedicineAlso: Orthopedic Surgery

Education

Pennsylvania State University College of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Providence Facey Medical FoundationGroup PAC ID 3173436276, 324 clinicians

Orthopaedic Surgery Specialists BurbankGroup PAC ID 1153631601, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• A to Z Home Health, Inc Home health agency, Glendale, CA, CCN 059012
• Providence Saint Joseph Medical Ctr Hospital, Burbank, CA, CCN 050235
• Glendale Adventist Medical Center Hospital, Glendale, CA, CCN 050239
• Henry Mayo Newhall Hospital Hospital, Valencia, CA, CCN 050624
• Glendale Mem Hospital & HLTH Center Hospital, Glendale, CA, CCN 050058

Merit-based Incentive Payment System (MIPS)

Final score

84.87 of 100Reported as group

Quality

72.95

Promoting interoperability

90

Improvement activities

40

Cost

68.29

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: syacoubian435835@oc.providencedirect.org

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.

• Orthopaedic Surgery Specialists Burbank

  • Orthopaedic Surgery Physician
  • Burbank, CA
  • NPI 1063690592
  Medicare reassignment Care Compare group NPD
• Providence Facey Medical Foundation

  • Internal Medicine Physician
  • Valencia, CA
  • NPI 1710031588

  Orthopaedic Surgery

  Medicare reassignment Care Compare group NPD
• Burbank Occupational Health Center Inc

  • Urgent Care Clinic/Center
  • Burbank, CA
  • NPI 1962788463
  NPD
• East County Urgent Care Industrial & Medical Clinic Inc

  • Urgent Care Clinic/Center
  • El Cajon, CA
  • NPI 1417988668

  Orthopaedic Surgery

  NPD
• Orthopaedic Surgery Specialists Burbank

  • Orthopaedic Surgery Physician
  • Burbank, CA
  • NPI 1184328973
  NPD
• Providence Facey Medical Foundation

  • Multi-Specialty Clinic/Center
  • Irvine, CA
  • NPI 1891348447
  NPD
• Providence Health System - Southern California

  • General Acute Care Hospital
  • Burbank, CA
  • NPI 1336173269
  NPD (past)
• Providence Health & Services - Wa

  • Skilled Nursing Facility
  • Chewelah, WA
  • NPI 1700038197
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• A to Z Home Health, Inc.

  • Home Health Agency
  • Glendale, CA
  • NPI 1497880645
  Care Compare affiliation
• Dignity Community Care

  • General Acute Care Hospital
  • Glendale, CA
  • NPI 1477610640
  Care Compare affiliation
• Glendale Adventist Medical Center

  • General Acute Care Hospital
  • Glendale, CA
  • NPI 1831188275
  Care Compare affiliation
• Henry Mayo Newhall Memorial Hospital

  • General Acute Care Hospital
  • Valencia, CA
  • NPI 1780668434
  Care Compare affiliation
• Providence Health System - Southern California

  • General Acute Care Hospital
  • Burbank, CA
  • NPI 1336173269
  Care Compare affiliation

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1285625384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 W ALAMEDA AVE",
            "address_2": "STE 116",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054806",
            "telephone_number": "818-841-3936",
            "fax_number": "818-841-5974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 W ALAMEDA AVE",
            "address_2": "STE 116",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054806",
            "telephone_number": "818-841-3936",
            "fax_number": "818-841-5974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YACOUBIAN",
        "first_name": "STEPHAN",
        "middle_name": "VAHE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A77306",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "A77306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A773060",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly H Wun, MD
• Laneta T Wynn, NURSE PRACTITIONER
• John Earl Xiong-Chapman, PHD, LP
• Ann Yacoub, CADC
• Shahan Vahe Yacoubian, MD
• Shadi Yadegaran
• Yael Eiserike, a Licensed Clinical Social Worker PC
• Yaelle Gabay, DDS Inc
• Erena Irene Yahyayan
• Merilynn Yamada, D.D.S.

• Sports Medicine (Orthopaedic Surgery) Physician in Burbank, CA
• Providers in Burbank, CA by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.