Individual provider Active NPI

Samaneh Yousefi

  • Family Nurse Practitioner
  • Mission Viejo, CA
National Provider Identifier
1316513674
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95016406 Issued in CA
Practice address
26932 Oso Pkwy Ste 275
Mission Viejo, CA 92691-5823
Phone
(949) 916-8100
NPI assigned
May 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95016406 CA Primary

Addresses

Primary practice location

26932 Oso Pkwy Ste 275
Mission Viejo, CA 92691-5823

Mailing address

28253 Via Luis
Laguna Niguel, CA 92677-7549
Phone (714) 352-9074

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211216000965 CA Practitioner - Nurse Practitioner 1951792431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Eleonora S Spokoyny MD IncGroup PAC ID 5597853267, 2 clinicians

Practice addresses (Care Compare)

25982 Pala
Suite 150
Mission Viejo, CA 92691-6703
Phone (949) 586-5500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95016406CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eleonora S. Spokoyny M.D., Inc. CurrentSince Nov 29, 2021 Accepting new patients
Mission Hospital Regional Medical Center PastSince Nov 29, 2021 Accepting new patients

Locations

25982 Pala
Ste 150
Mission Viejo, CA 92691
Phone (949) 586-5500

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1316513674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28253 VIA LUIS",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926777549",
            "telephone_number": "714-352-9074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26932 OSO PKWY STE 275",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915823",
            "telephone_number": "949-916-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUSEFI",
        "first_name": "SAMANEH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-27",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95016406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.