Individual provider Active NPI

Grant Masaru Yasui, MD

  • Anesthesiology Physician
  • Anaheim, CA
National Provider Identifier
1467607929
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A92789 Issued in CA
Practice address
441 N Lakeview Ave
Anaheim, CA 92807-3028
Phone
(888) 988-2800
NPI assigned
Nov 25, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A92789 CA Primary

Addresses

Primary practice location

441 N Lakeview Ave
Anaheim, CA 92807-3028

Mailing address

441 N Lakeview Ave
Anaheim, CA 92807-3028
Phone (888) 988-2800

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090115000768 CA Practitioner - Anesthesiology 1850454968 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Creighton University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia and Analgesia Medical Group IncGroup PAC ID 1153316112, 73 clinicians
Pacific Anesthesia Medical AssociatesGroup PAC ID 6507179165, 8 clinicians

Practice addresses (Care Compare)

1165 Montgomery Dr
Santa Rosa, CA 95405-4801
Phone (707) 546-3210

3833 Worsham Ave
200 Memorialcare Outpatient Surgical Center
Long Beach, CA 90808-1766
Phone (562) 595-5421

5475 E la Palma Ave
Anaheim, CA 92807-2075
Phone (714) 279-6088

6640 Alton Pkwy
Irvine, CA 92618-3734
Phone (949) 932-5000

6650 Alton Pkwy
Irvine, CA 92618-3734
Phone (949) 932-5000

6670 Alton Pkwy
Irvine, CA 92618-3734
Phone (949) 932-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A92789CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince Oct 21, 2010 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Pacific Anesthesia Medical Associates Anesthesiology CurrentSince Aug 9, 2024 Accepting new patients
Southern California Permanente Medical Group CurrentSince Oct 21, 2010 Accepting new patients
Anesthesia & Analgesia Medical Group, Inc. Anesthesiology CurrentSince Mar 1, 2024 Accepting new patients
Crystal Anesthesiology Inc Anesthesiology CurrentSince Mar 1, 2024 Accepting new patients
Allied Anesthesia Medical Group Inc Anesthesiology CurrentSince Aug 26, 2024 Accepting new patients

Locations

5475 E La Palma Ave
Anaheim, CA 92807
Phone (714) 279-6088

441 N Lakeview Ave
Anaheim, CA 92807
Phone (714) 279-4000

2725 16th St
Bakersfield, CA 93301
Phone (661) 401-2800

1124 S Main St
Ste 101
Corona, CA 92882
Phone (951) 737-6363

160 Green Valley Rd
Ste 101
Freedom, CA 95019
Phone (831) 636-4915

3833 Worsham Ave
Ste 200
Long Beach, CA 90808
Phone (562) 426-2606

1421 Oakdale Rd
Modesto, CA 95355
Phone (209) 572-0151

1000 Trancas St
Napa, CA 94558
Phone (707) 226-2901

20360 SW Birch St
Ste 110
Newport Beach, CA 92660
Phone (562) 292-8705

455 S Main St
Orange, CA 92868
Phone (714) 289-4511

280 S Main St
Ste 100
Orange, CA 92868
Phone (714) 704-1900

681 S Parker St
Orange, CA 92868
Phone (714) 744-0439

393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914

255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127

2900 Eureka Way
Redding, CA 96001
Phone (530) 225-8700

1165 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 525-5300

999 San Bernardino Rd
Upland, CA 91786
Phone (909) 920-4841

15141 Whittier Blvd
Ste 130
Whittier, CA 90603
Phone (562) 645-2832

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1467607929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 N LAKEVIEW AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928073028",
            "telephone_number": "888-988-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 N LAKEVIEW AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928073028",
            "telephone_number": "888-988-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YASUI",
        "first_name": "GRANT",
        "middle_name": "MASARU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-25",
        "last_updated": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A92789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "441 N Lakeview Ave",
            "city": "Anaheim",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928073028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.