Active NPI
Tahir Yaqub, M.D.
- Family Medicine Physician
- Atwater, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A96088
- 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, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ77315Z | Other | CA | MEDI-CAL CALIFORNIA |
| P00376233 | Other | CA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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 America
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
- Careone Home Health and Hospice, Inc
- Covenant Care at Home
- Mercy Home Care
- Altruity Home Health and Hospice
- Mercy Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Improvement activities
- 40
- Cost
- 81.51
Merit-based Incentive Payment System (MIPS)
- Final score
- 23.44 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 78.15
Merit-based Incentive Payment System (MIPS)
- Final score
- 25.61 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 85.37
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Centers of America | Current | Accepting new patients | |
| Navajo Health Foundation-Sage Memorial Hospital, Inc. | Current | Accepting new patients | |
| Navajo Health Foundation-Sage Memorial Hospital Inc | Current | Accepting new patients | |
| Merced Hospitalist Medical Group, Inc. | Current | Accepting new patients | |
| Community Health Centers of America | Family Medicine | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Mariposa, CA
- NPI 1891207684
Family Medicine
-
- Internal Medicine Physician
- Merced, CA
- NPI 1730431875
-
dba Sage Memorial Physicians
- Rural Acute Care Hospital
- Ganado, AZ
- NPI 1477735777
-
- Primary Care Clinic/Center
- Atwater, CA
- NPI 1952615395
-
- Federally Qualified Health Center (FQHC)
- Gustine, CA
- NPI 1245105733
-
dba Sage Memorial Hospital
- Critical Access Hospital Clinic/Center
- Ganado, AZ
- NPI 1518957398
-
dba Mercy Medical Center Merced
- General Acute Care Hospital
- Merced, CA
- NPI 1518018191
-
dba De La Pena Eye Clinic, A Medical Group
- Ophthalmology Physician
- El Monte, CA
- NPI 1912732892
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Atwater, CA
- NPI 1962991604
-
- Home Health Agency
- Salida, CA
- NPI 1972809838
-
dba Mercy Medical Center Merced
- General Acute Care Hospital
- Merced, CA
- NPI 1518018191
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; 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.
- 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.