Individual provider Active NPI

Tahir Yaqub, M.D.

  • Family Medicine Physician
  • Atwater, CA
National Provider Identifier
1326077280
Registry record updated Jan 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A96088 Issued in CA
Practice address
1775 3Rd St
Atwater, CA 95301-3608
Phone
(209) 358-5611
Fax
(209) 358-0219
NPI assigned
Jul 2, 2006
Last updated
Jan 9, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A96088 CA Primary

Addresses

Primary practice location

1775 3Rd St
Atwater, CA 95301-3608

Mailing address

1775 3Rd St
Atwater, CA 95301-3608
Phone (209) 358-5611

Other identifiers 2

IdentifierTypeStateIssuer
ZZZ77315ZOtherCAMEDI-CAL CALIFORNIA
P00376233OtherCARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070111000650 CA Practitioner - Family PracticePractitioner - General PracticePractitioner - Other (Physician)Practitioner - Diagnostic Radiology 7012917297 Reassigns benefits to 2 organizations
I20200224001972 AZ Practitioner - Family Practice 7012917297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Centers of AmericaGroup PAC ID 3476813460, shared by 2 NPIs, 112 clinicians

Practice addresses (Care Compare)

5320 Hwy 49 N
Mariposa, CA 95338-9588
Phone (209) 966-2344

850 W Olive Ave
Suite a
Merced, CA 95348-2427
Phone (209) 437-9410

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Improvement activities
40
Cost
81.51

Merit-based Incentive Payment System (MIPS)

Final score
23.44 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
78.15

Merit-based Incentive Payment System (MIPS)

Final score
25.61 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
85.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers of America CurrentSince Apr 11, 2024 Accepting new patients
Navajo Health Foundation-Sage Memorial Hospital, Inc. CurrentSince Jan 1, 2020 Accepting new patients
Navajo Health Foundation-Sage Memorial Hospital Inc CurrentSince Jan 1, 2020 Accepting new patients
Merced Hospitalist Medical Group, Inc. CurrentSince Mar 12, 2017 Accepting new patients
Community Health Centers of America Family Medicine CurrentSince Apr 11, 2024 Accepting new patients
Dignity Health Past Accepting new patients
First Choice Physician Partners Past Accepting new patients

Locations

6608 Mercy Ct
Ste Ab
Fair Oaks, CA 95628

6608 Mercy Ct
Ste B
Fair Oaks, CA 95628
Phone (916) 694-3602

5320 State Highway 49 N
Ste 13
Mariposa, CA 95338
Phone (209) 966-2344

733 3rd St
Mc Farland, CA 93250
Phone (661) 792-3097

333 Mercy Ave
Merced, CA 95340
Phone (209) 385-1280

850 W Olive Ave
Merced, CA 95348
Phone (209) 437-9410

850 W Olive Ave
#A
Merced, CA 95348
Phone (209) 384-1777

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389225600000",
    "number": "1326077280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 3RD ST",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953013608",
            "telephone_number": "209-358-5611",
            "fax_number": "209-358-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 3RD ST",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953013608",
            "telephone_number": "209-358-5611",
            "fax_number": "209-358-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAQUB",
        "first_name": "TAHIR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2014-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A96088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL CALIFORNIA",
            "identifier": "ZZZ77315Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00376233",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atwater, CA

Sources for this page

Verify at the official NPI Registry.