R. Yacoub Inc

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A48080 Issued in CA

Legal business name

R. YACOUB INC

Practice address

3001 Sillect Ave
Bakersfield, CA 93308-6337

Phone

(661) 316-6000

NPI assigned

Apr 18, 2012

Organization subpart

No

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

Authorized official

Name

Robert Yacoub, MD

Title

President

Phone

(661) 654-0399

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1457618282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 20TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013903",
            "telephone_number": "661-335-7755",
            "fax_number": "661-335-7766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 SILLECT AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933086337",
            "telephone_number": "661-316-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. YACOUB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-18",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "YACOUB",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-654-0399",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A48080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiology Physician in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.