Active NPI
Allysha Yasuda, MD
- Internal Medicine Physician
- Salt Lake City, UT
National Provider Identifier
1306537261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- R80271
- Practice address
- 30 N Mario Capecchi Dr RM 3N100
Salt Lake City, UT 84112 - Phone
- (801) 585-6320
- Fax
- (520) 694-8466
- NPI assigned
- May 19, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 14290191-1205 | UT | |
| Internal Medicine Physician | 207R00000X | R80271 | AZ | Primary |
Addresses
Primary practice location
30 N Mario Capecchi Dr RM 3N100
Salt Lake City, UT 84112
Mailing address
30 N Mario Capecchi Dr RM 3N100
Salt Lake City, UT 84112
Phone (801) 585-6320
Other practice location 1
7901 E 22nd St
Tucson, AZ 85710-8509
Phone (520) 694-8888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R80271 | AZ | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784851200000",
"number": "1306537261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 N MARIO CAPECCHI DR RM 3N100",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84112",
"telephone_number": "801-585-6320",
"fax_number": "520-694-8466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 N MARIO CAPECCHI DR RM 3N100",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84112",
"telephone_number": "801-585-6320",
"fax_number": "520-694-8466"
}
],
"practiceLocations": [
{
"address_1": "7901 E 22nd St",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857108509",
"country_code": "US",
"telephone_number": "520-694-8888",
"fax_number": "520-694-8466",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YASUDA",
"first_name": "ALLYSHA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-19",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "UT",
"license": "14290191-1205",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "R80271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.