Organization Active NPI

Hosein Yasrebi MD

  • Specialist
  • Jacksonville, FL
National Provider Identifier
1437283397
Registry record updated Jul 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0023964 Issued in FL
Legal business name
HOSEIN YASREBI MD
Practice address
4253 Salisbury Rd
Jacksonville, FL 32216-6121
Phone
(043) 994-0049
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2022

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

Authorized official

Name
Dr. Hosein Yasrebi, MD
Title
President
Phone
(904) 396-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME0023964 FL Primary

Addresses

Primary practice location

4253 Salisbury Rd
Jacksonville, FL 32216-6121

Mailing address

141 Sea Hammock Way
Ponte Vedra Beach, FL 32082-4409
Phone (904) 396-8000

National Provider Directory

National Provider Directory

Locations

3599 University Blvd S
Ste 506
Jacksonville, FL 32216
Phone (904) 396-8000

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657843200000",
    "number": "1437283397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 SEA HAMMOCK WAY",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320824409",
            "telephone_number": "904-396-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4253 SALISBURY RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166121",
            "telephone_number": "043-994-0049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSEIN YASREBI MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A",
        "authorized_official_last_name": "YASREBI",
        "authorized_official_first_name": "HOSEIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-396-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0023964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; 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.