Yale Mitchell Kadesky, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

C50002 Issued in CA

Practice address

1045 E Pennsylvania Ave
Escondido, CA 92025-4616

Phone

(760) 741-5466

Fax

(760) 741-5656

NPI assigned

Aug 30, 2007

Sex

Male

Sole proprietor

Yes

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Plastic and Reconstructive Surgery

Education

Johns Hopkins University School of Medicine, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Palomar Health Downtown Campus Hospital, Escondido, CA, CCN 050115

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Yale Mitchell Kadesky a Professional Medical Corporation

  • Plastic Surgery Physician
  • Escondido, CA
  • NPI 1003982737
  Medicare reassignment Authorized official
• Stein Dermatology a Professional Corporation

  • Dermatology Physician
  • Chula Vista, CA
  • NPI 1780159749
  NPD
• Palomar Health

  • General Acute Care Hospital
  • Escondido, CA
  • NPI 1457321317
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Palomar Health

  • General Acute Care Hospital
  • Escondido, CA
  • NPI 1457321317
  Care Compare affiliation

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1437343605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1637 E VALLEY PKWY # 222",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920272408",
            "telephone_number": "760-741-5466",
            "fax_number": "760-741-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 E PENNSYLVANIA AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254616",
            "telephone_number": "760-741-5466",
            "fax_number": "760-741-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADESKY",
        "first_name": "YALE",
        "middle_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-30",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "C50002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C500020",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicolaus Richard Kangas Jungman, DDS
• Robert Jungman, DDS
• William R Jungman, D.D.S.
• Russell Scott Kaczmar, PT, DPT
• Mark Leland Kadden, M.D.
• Prabhpreet S Kaila, D.D.S.
• Kaiser Foundation Health Plan Inc
• Sarah Kalina, OTR
• Andysheh Kamgar-Parsi
• Michael Nicolaos Kaminis

• Specialist in Escondido, CA
• Providers in Escondido, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.