NPIMap

Individual provider Active NPI

Lina M Ya'Qoub, MD

  • Interventional Cardiology Physician
  • Reno, NV
National Provider Identifier
1578940862
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
23098 Issued in NV
Practice address
645 N Arlington Ave
Reno, NV 89503-4460
Phone
(775) 770-7662
NPI assigned
May 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2015014101 MO
Student in an Organized Health Care Education/Training Program 390200000X
Interventional Cardiology Physician 207RI0011X 23098 NV Primary

Addresses

Primary practice location

645 N Arlington Ave
Reno, NV 89503-4460

Mailing address

645 N Arlington Ave
Reno, NV 89503-4460
Phone (775) 770-7662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240910002369 CA Practitioner - Cardiovascular Disease (Cardiology) 7618271271 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Valley Cardiovascular Medical Group IncGroup PAC ID 3476702242, 5 clinicians

Practice addresses (Care Compare)

1508 Colorado Ave
Turlock, CA 95380-2711
Phone (209) 668-8030

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.62 of 100Reported as group
Quality
42.31
Improvement activities
40
Cost
80.62

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting71
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23098NVMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Valley Cardiovascular Medical Group, Inc CurrentSince Aug 20, 2024 Accepting new patients
Premier Vascular and Vein Surgery Center CurrentSince Dec 5, 2025 Accepting new patients
Mt Grant General Hospital Past Accepting new patients
Sparks Family Hospital Inc Past Accepting new patients
Prime Healthcare Services - Reno LLC Past Accepting new patients
South Lyon Health Center, Inc. Past Accepting new patients

Locations

600 W I St
Ste A
Los Banos, CA 93635
Phone (209) 826-4800

3150 G St
Ste A
Merced, CA 95340
Phone (209) 385-2240

205 W Granger Ave
Modesto, CA 95350
Phone (209) 571-0288

1512 Colorado Ave
Turlock, CA 95380
Phone (209) 668-8030

1508 Colorado Ave
Turlock, CA 95380
Phone (209) 668-8030

777 E Hawkeye Ave
Turlock, CA 95380
Phone (209) 385-2240

Organizations & group practices 6

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 5

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": "1430870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1578940862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 N ARLINGTON AVE",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034460",
            "telephone_number": "775-770-7662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 N ARLINGTON AVE",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034460",
            "telephone_number": "775-770-7662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YA'QOUB",
        "first_name": "LINA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-06",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2015014101",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NV",
            "license": "23098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.