Individual provider Active NPI

Harish Yalamanchili, M.D.

  • Surgery Physician
  • Corona del Mar, CA
National Provider Identifier
1578874186
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A140164 Issued in CA
Practice address
2121 E Coast Hwy Ste 150
Corona del Mar, CA 92625-1940
Phone
(949) 718-0905
NPI assigned
Jun 29, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 35.120835 OH
Surgery Physician 208600000X A140164 CA Primary

Addresses

Primary practice location

2121 E Coast Hwy Ste 150
Corona del Mar, CA 92625-1940

Mailing address

840 Towne Center Dr
Pomona, CA 91767-5900
Phone (909) 398-1550

Other practice location 1

520 E Foothill Blvd Ste C
Pomona, CA 91767-1200
Phone (909) 398-4895

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Coastalveincare.harishyalamanchili@144000.advancedmd-direct.com Direct

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
I20160205000340 CA Practitioner - General Surgery 9335321942 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chaparral Medical Group IncGroup PAC ID 6800709403, shared by 2 NPIs, 66 clinicians
Harish Yalamanchili MD IncGroup PAC ID 2062748585, 2 clinicians

Practice addresses (Care Compare)

1940 N Orange Grove Ave
Pomona, CA 91767-3002
Phone (909) 865-6900

2121 E Coast Hwy
Suite 150
Corona del Mar, CA 92625-1940
Phone (949) 520-0178

9190 Haven Ave
Rancho Cucamonga, CA 91730-5431
Phone (909) 581-6732

Hospital & facility affiliations

  • Pomona Valley Hospital Medical Center Hospital, Pomona, CA, CCN 050231

Merit-based Incentive Payment System (MIPS)

Final score
78.08 of 100Reported as group
Quality
40.87
Promoting interoperability
75
Improvement activities
40
Cost
74.84

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Varicose vein removal439

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
140164CAMDMarriage & Family Therapist
A140164CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harish Yalamanchili MD Inc Surgery CurrentSince May 1, 2018 Accepting new patients
Chaparral Medical Group, Inc. Current Accepting new patients
Chaparral Medical Group, Inc. CurrentSince Mar 1, 2016 Accepting new patients
Chaparral Medical Group, Inc. Surgery CurrentSince Mar 1, 2016 Accepting new patients
Chaparral Medical Group Inc. Surgery CurrentSince Mar 1, 2016 Accepting new patients
Dao Medical Group Inc CurrentSince Mar 22, 2019 Accepting new patients
Chaparral Medical Group Inc Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
San Antonio Regional Hospital Past Accepting new patients
Mukesh Amin MD & Tejinder Singh MD Inc Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

2121 E Coast Hwy
Ste 150
Corona del Mar, CA 92625
Phone (949) 520-0178

9191 Westminster Ave
Garden Grove, CA 92844
Phone (714) 583-6320

23986 Aliso Creek Rd
Laguna Niguel, CA 92677
Phone (714) 514-5855

1801 W Olympic Blvd
Pasadena, CA 91199

1940 N Orange Grove Ave
Pomona, CA 91767
Phone (909) 620-8443

520 E Foothill Blvd
Ste C
Pomona, CA 91767
Phone (909) 398-4895

520 E Foothill Blvd
Pomona, CA 91767
Phone (909) 622-3065

1866 N Orange Grove Ave
Ste 202
Pomona, CA 91767
Phone (909) 623-8796

840 Towne Center Dr
Pomona, CA 91767

9190 Haven Ave
Ste 101
Rancho Cucamonga, CA 91730
Phone (909) 581-6732

585 N Mountain Ave
Ste A
Upland, CA 91786
Phone (909) 608-7546

914 W Foothill Blvd
Ste A
Upland, CA 91786
Phone (909) 285-6717

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.healthtogo.me/fhir/r4/universalehr.dmg
  • Direct secure messaging: coastalveincare.harishyalamanchili@144000.advancedmd-direct.com

Organizations & group practices 11

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": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1578874186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 TOWNE CENTER DR",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917675900",
            "telephone_number": "909-398-1550",
            "fax_number": "909-398-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 E COAST HWY STE 150",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926251940",
            "telephone_number": "949-718-0905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 E Foothill Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "CA",
            "postal_code": "917671200",
            "country_code": "US",
            "telephone_number": "909-398-4895",
            "fax_number": "909-398-4925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YALAMANCHILI",
        "first_name": "HARISH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-29",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35.120835",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A140164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Coastalveincare.harishyalamanchili@144000.advancedmd-direct.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2121 E Coast Hwy Ste 150",
            "city": "Corona Del Mar",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926251940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corona del Mar, CA

Sources for this page

Verify at the official NPI Registry.