John Yadegar, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A87209 Issued in CA

Practice address

627 W Avenue Q Ste a
Palmdale, CA 93551

Phone

(661) 723-7833

Fax

(877) 723-1502

NPI assigned

Jul 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• So Cal Miwls Institute Inc

  • Surgery Physician
  • Palmdale, CA
  • NPI 1912406794
  NPD (past) Authorized official
• Dignity Health

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1104981661
  NPD (past)
• Lancaster Hospital Corporation

  • Rehabilitation Hospital Unit
  • Palmdale, CA
  • NPI 1033109947
  NPD (past)
• Loma Linda University Children'S Hospital

  • Children's Hospital
  • Loma Linda, CA
  • NPI 1366866345
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1336163435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6377",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935396377",
            "telephone_number": "661-723-7833",
            "fax_number": "877-723-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 W AVENUE Q STE A",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "93551",
            "telephone_number": "661-723-7833",
            "fax_number": "877-723-1502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43845 10th St W Ste 2E",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "935344800",
            "country_code": "US",
            "telephone_number": "661-723-7833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YADEGAR",
        "first_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A87209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Briana Wright
• Linda Wright
• Josephus Peter Tolentino Wycoco, PTRP, RPT
• Guissella Xol
• Y&R Legacies LLC
• Dana Yakobian, CRNA
• Jean R. Yan, M.A.
• John J Yang, D.C.
• Yaoli Yang, M.D.
• Yasmin Easley Dental Corporation

• Surgery Physician in Palmdale, CA
• Providers in Palmdale, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.