Emile Ignatius Yacoub, DPT OCS CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT25573 Issued in CA

Practice address

341 Magnolia Ave
Suite 103
Corona, CA 92879-3330

Phone

(951) 735-6060

Fax

(951) 735-4510

NPI assigned

Aug 10, 2006

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 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Corona Orthopaedic Associates Medical Group IncGroup PAC ID 0547243586, 11 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

77.87 of 100Reported as group

Quality

46.3

Improvement activities

40

Cost

81.16

Medicare enrollment (NPD)

Enrolled

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.

• Corona Orthopaedic Associates Medical Group Inc

  • Orthopaedic Surgery Physician
  • Corona, CA
  • NPI 1598872657
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1285645606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 MAGNOLIA AVE",
            "address_2": "SUITE 103",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793330",
            "telephone_number": "951-735-6060",
            "fax_number": "951-735-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 MAGNOLIA AVE",
            "address_2": "SUITE 103",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793330",
            "telephone_number": "951-735-6060",
            "fax_number": "951-735-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YACOUB",
        "first_name": "EMILE",
        "middle_name": "IGNATIUS",
        "credential": "DPT OCS CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT25573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0PT255730",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "0PT255730",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Xinke Chen MD, Inc.
• Lisa Kaye Xitco
• Jenny Xochitiotizi
• Wilmer Yabar, D.D.S
• Alianna Yabut
• Sarah Yae
• Yu Yang-Fujimori
• Linda Yang-Vue
• John Yang, M.D.
• Junghee Yang, LAC

• Physical Therapist in Corona, CA
• Providers in Corona, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.