Organization Active NPI

Young Hearts of Yuma, Inc

  • Medical Specialty Clinic/Center
  • Yuma, AZ
National Provider Identifier
1396978268
Registry record updated Aug 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
YOUNG HEARTS OF YUMA, INC
Practice address
2051 W 25TH St
Yuma, AZ 85364-6912
Phone
(928) 317-1119
Fax
(928) 344-2270
NPI assigned
Aug 26, 2009
Last updated
Aug 26, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2009

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

Authorized official

Name
Dr. Maher Mark Awar, M.D.NPI 1124052154
Title
President
Phone
(928) 317-1119

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X AZ Primary

Addresses

Primary practice location

2051 W 25TH St
Yuma, AZ 85364-6912

Mailing address

2051 W 25TH St
Yuma, AZ 85364-6912
Phone (928) 317-1119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091118000059 AZ Part B Supplier - Clinic/Group Practice 0648318360 Receives reassigned benefits from 8 practitioners
Practice locations: Yuma, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D1104986Young Hearts of Yuma2051 W 25TH St Ste a, Yuma, AZ 85364Certificate of waiverSep 13, 2027

National Provider Directory

National Provider Directory

Locations

2051 W 25th St
Ste Ab
Yuma, AZ 85364

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2204/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251244800000",
    "number": "1396978268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 W 25TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646912",
            "telephone_number": "928-317-1119",
            "fax_number": "928-344-2270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 W 25TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646912",
            "telephone_number": "928-317-1119",
            "fax_number": "928-344-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG HEARTS OF YUMA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-26",
        "last_updated": "2009-08-26",
        "status": "A",
        "authorized_official_last_name": "AWAR",
        "authorized_official_first_name": "MAHER",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-317-1119",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.