Individual provider Active NPI

Simon Michael Yassear, M.D.

  • Obstetrics & Gynecology Physician
  • Carmichael, CA
National Provider Identifier
1427005933
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A31132 Issued in CA
Practice address
6444 Coyle Ave
Suite 2
Carmichael, CA 95608-0305
Phone
(916) 965-5500
Fax
(916) 965-9205
NPI assigned
May 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A31132 CA Primary

Addresses

Primary practice location

6444 Coyle Ave
Suite 2
Carmichael, CA 95608-0305

Mailing address

6444 Coyle Ave
Suite 2
Carmichael, CA 95608-0305
Phone (916) 965-5500

Other identifiers 2

IdentifierTypeStateIssuer
00A311320MedicaidCA
1598202OtherECFMG NUMBER

Other names 1

  • Dr. Said Mahmoud Yassir Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A31132CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Medical Associates, Inc. Past Accepting new patients
Women'S Health Care Consultants Medical Group, Incorporated Obstetrics & Gynecology Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317254400000",
    "number": "1427005933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6444 COYLE AVE",
            "address_2": "SUITE 2",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080305",
            "telephone_number": "916-965-5500",
            "fax_number": "916-965-9205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6444 COYLE AVE",
            "address_2": "SUITE 2",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080305",
            "telephone_number": "916-965-5500",
            "fax_number": "916-965-9205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YASSEAR",
        "first_name": "SIMON",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2011-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A31132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A311320",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECFMG NUMBER",
            "identifier": "1598202",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAID",
            "last_name": "YASSIR",
            "middle_name": "MAHMOUD",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carmichael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; 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.