Eliza Yaccobe, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

692631 Issued in CA

Practice address

10780 Santa Monica Blvd Ste 320
Los Angeles, CA 90025

Phone

(424) 320-4884

NPI assigned

Mar 29, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

San Luis Rey Medical GroupGroup PAC ID 4284915612, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• San Luis Rey Medical Group

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Temecula, CA
  • NPI 1689117137
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1487943551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3757 COLDSTREAM TER",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913565613",
            "telephone_number": "310-995-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10780 SANTA MONICA BLVD STE 320",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90025",
            "telephone_number": "424-320-4884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "575 E Hardy St",
            "address_2": "Suite 104",
            "address_purpose": "LOCATION",
            "city": "Inglewood",
            "state": "CA",
            "postal_code": "903014036",
            "country_code": "US",
            "telephone_number": "310-671-3148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YACCOBE",
        "first_name": "ELIZA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-29",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "692631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Y&Z Westwood Surgical Pathology Lab Inc
• Keith Joseph Yablonicky, M.D.
• Julie M Yabu, MD
• Ken Keiji Yabuki, MFT
• Jamie Akemi Yabuno
• Michaela Yaccobi-Menasherian, OD
• Sajjad Ayub Yacoob, MD
• Anwar Ibrahim Yacoub, DDS
• Rania Rady Yacoub
• Wael Nabil Yacoub, MD

• Adult Health Nurse Practitioner in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Adult Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; 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.