Individual provider Active NPI

Yaifeh Chafeh

  • Psychiatric/Mental Health Nurse Practitioner
  • Palm Springs, CA
National Provider Identifier
1508558099
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95024735 Issued in CA
Practice address
1910 S Camino Real
Palm Springs, CA 92264-9290
Phone
(760) 320-3427
Fax
(760) 322-2075
NPI assigned
May 23, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95024735 CA Primary

Addresses

Primary practice location

1910 S Camino Real
Palm Springs, CA 92264-9290

Mailing address

1968 S Coast Hwy # 1277
Laguna Beach, CA 92651-3681

Other practice location 1

1968 S Coast Hwy # 1277
Laguna Beach, CA 92651-3681
Phone (909) 278-1368

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230726002791 CA Practitioner - Nurse Practitioner 5496116212 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ehab Yacoub MD Inc. CurrentSince Jun 10, 2023 Accepting new patients
Mental Wellness Partners Psychiatric/Mental Health CurrentSince Nov 1, 2024 Accepting new patients

Locations

1225 W 190th St
Ste 280
Gardena, CA 90248
Phone (310) 515-8113

17075 Devonshire St
Ste 204
Northridge, CA 91325
Phone (818) 368-8929

820 N Mountain Ave
Ste 215
Upland, CA 91786
Phone (844) 467-3867

14541 Delano St
Van Nuys, CA 91411
Phone (310) 515-8113

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1508558099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1968 S COAST HWY # 1277",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926513681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 S CAMINO REAL",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922649290",
            "telephone_number": "760-320-3427",
            "fax_number": "760-322-2075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1968 S Coast Hwy # 1277",
            "address_purpose": "LOCATION",
            "city": "Laguna Beach",
            "state": "CA",
            "postal_code": "926513681",
            "country_code": "US",
            "telephone_number": "909-278-1368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAFEH",
        "first_name": "YAIFEH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-23",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95024735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

Verify at the official NPI Registry.