Individual provider Active NPI

Athmar Mary Yaldo, DNP, AGACNP-BC

  • Acute Care Nurse Practitioner
  • El Cajon, CA
National Provider Identifier
1497338958
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
95016817 Issued in CA
Practice address
328 Highland Ave # 200
El Cajon, CA 92020-5207
Phone
(619) 930-9404
NPI assigned
May 3, 2021
Last updated
Jun 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 95016817 CA Primary

Addresses

Primary practice location

328 Highland Ave # 200
El Cajon, CA 92020-5207

Mailing address

328 Highland Ave # 200
El Cajon, CA 92020-5207
Phone (619) 930-9404

Other practice location 1

12032 Calle De Medio Unit 169
El Cajon, CA 92019-4937
Phone (248) 798-2151

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211108002754 CA Practitioner - Nurse Practitioner 6103215454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hassan Kafri MD IncGroup PAC ID 7618023805, 8 clinicians

Practice addresses (Care Compare)

328 Highland Ave
Suite 200
El Cajon, CA 92020-5207
Phone (619) 930-9404

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95016817CAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hassan Kafri MD, Inc. CurrentSince Jul 6, 2021 Accepting new patients

Locations

429 Broadway
Chula Vista, CA 91910
Phone (619) 434-0204

480 Fourth Ave
Ste 401
Chula Vista, CA 91910
Phone (619) 337-0190

Interoperability endpoints

  • Direct secure messaging: athmar.yaldo@575.securemail.prognocis.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1497338958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 HIGHLAND AVE # 200",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920205207",
            "telephone_number": "619-930-9404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 HIGHLAND AVE # 200",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920205207",
            "telephone_number": "619-930-9404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12032 Calle De Medio Unit 169",
            "address_purpose": "LOCATION",
            "city": "El Cajon",
            "state": "CA",
            "postal_code": "920194937",
            "country_code": "US",
            "telephone_number": "248-798-2151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YALDO",
        "first_name": "ATHMAR",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "DNP, AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-03",
        "last_updated": "2021-06-11",
        "certification_date": "2021-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95016817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

Verify at the official NPI Registry.