Ybl PLLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

M001519 Issued in GU

Legal business name

YBL PLLC

Practice address

643 Chalan San Antonio
Ste 109
Tamuning, GU 96913-3644

Phone

(671) 648-6390

Fax

(671) 648-6398

NPI assigned

Mar 1, 2010

Last updated

Sep 15, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Vincent V Lizama, M.D.NPI 1417918764

Title

Manager

Phone

(671) 777-5259

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GU

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vincent Victor Lizama, M.D.

  • Radiography Radiologic Technologist
  • Tamuning, GU
  • NPI 1417918764
  Medicare reassignment Care Compare group Authorized official
• Michael Edwin Fenton, MD

  • Diagnostic Radiology Physician
  • Tamuning, GU
  • NPI 1033183264
  Medicare reassignment Care Compare group NPD
• John Y Young, MD

  • Diagnostic Radiology Physician
  • Oka Tamuning, GU
  • NPI 1629120381
  Medicare reassignment Care Compare group NPD
• George G Bocobo, MD

  • Diagnostic Radiology Physician
  • West Chester, PA
  • NPI 1760428221

  GU

  Medicare reassignment NPD
• Matthew Boles, DO

  • Diagnostic Radiology Physician
  • Fort Worth, TX
  • NPI 1730573056

  GU

  Medicare reassignment NPD
• Sarah Elizabeth Bumps, M.D.

  • Diagnostic Radiology Physician
  • Norfolk, VA
  • NPI 1366737405

  GU

  Medicare reassignment NPD
• Stephen Jory Pomeranz, M.D.

  • Diagnostic Radiology Physician
  • Cincinnati, OH
  • NPI 1285639690

  GU

  Medicare reassignment NPD

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

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316044800000",
    "number": "1295057503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 CHALAN SAN ANTONIO",
            "address_2": "STE 109",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133644",
            "telephone_number": "671-648-6390",
            "fax_number": "671-648-6398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 CHALAN SAN ANTONIO",
            "address_2": "STE 109",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133644",
            "telephone_number": "671-648-6390",
            "fax_number": "671-648-6398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YBL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-01",
        "last_updated": "2011-09-15",
        "status": "A",
        "authorized_official_last_name": "LIZAMA",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "16717775259",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GU",
            "license": "M001519",
            "primary": true
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "GU",
            "license": "M001519",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angie Yang, D.D.S.
• Hoseong Yang, MD PHD
• Robert Jae Yang, D.M.D.
• Jessica Joy Salalila Yanit, PHARMD
• Stanley York Yasuhiro, D.D.S.
• Melliza Young
• Wesley S Youngberg, DR.P.H.
• Kaaren Zvonik, MD

• Diagnostic Radiology Physician in Tamuning, GU
• Providers in Tamuning, GU by specialty
• Diagnostic Radiology Physician in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; 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.