Carol Yagher, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA11342 Issued in CA

Practice address

80495 US Highway 111
Indio, CA 92201-6534

Phone

(760) 347-2887

NPI assigned

Mar 5, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Physician Assistant

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Mirage Medical Group

  • Obstetrics & Gynecology Physician
  • Palm Desert, CA
  • NPI 1265298756
  Medicare reassignment

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417086562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80495 US HIGHWAY 111",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922016534",
            "telephone_number": "760-347-2887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80495 US HIGHWAY 111",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922016534",
            "telephone_number": "760-347-2887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAGHER",
        "first_name": "CAROL",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA11342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA11342",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa A Wolfe
• Michelle Wong
• Nancy Woo, PHARMD
• Kenneth Glen Wys, MD
• Xushao Huang OD Inc
• Barbara Yashita
• Matthew John Yavorsky, PT, DPT
• Yazji Pediatric Care, a Medical Corporation
• Robert Yeager III
• Amanda Yin

• Medical Physician Assistant in Indio, CA
• Providers in Indio, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.