Individual provider Active NPI

Yasser Farrag, M.D

  • Internal Medicine Physician
  • Cottonwood, AZ
National Provider Identifier
1588694475
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
53737 Issued in AZ
Practice address
269 S Candy LN
Cottonwood, AZ 86326-4158
Phone
(928) 639-5588
NPI assigned
Jul 4, 2006
Last updated
Jun 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 53737 AZ Primary
Internal Medicine Physician 207R00000X A81307 CA

Addresses

Primary practice location

269 S Candy LN
Cottonwood, AZ 86326-4158

Mailing address

425 N Date St
Escondido, CA 92025-3413
Phone (760) 737-2035

Other practice location 1

425 N Date St
Escondido, CA 92025-3413
Phone (760) 739-2371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, HI, AZ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20051216000787 CA Practitioner - Internal MedicinePractitioner - Hospitalist 8123049145 Reassigns benefits to 4 organizations
I20110610000576 HI Practitioner - Internal Medicine 8123049145 Reassigns benefits to 2 organizations
I20200619002361 AZ Practitioner - Hospitalist 8123049145 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Naz Hospitalists IncGroup PAC ID 5294627816, 28 clinicians
Hawaiian Island ClinicsGroup PAC ID 2769997188, 11 clinicians

Practice addresses (Care Compare)

1003 Willow Creek Rd
Prescott, AZ 86301-1641
Phone (928) 771-5470

347 N Kuakini St
Honolulu, HI 96817-2306
Phone (808) 547-9105

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A81307CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansal Inc Internal Medicine CurrentSince Sep 1, 2020 Accepting new patients
Comprehensive Hospitalist Services of Arizona, LLC Hospitalist CurrentSince Jun 21, 2024 Accepting new patients
Naz Hospitalists Inc Hospitalist CurrentSince Aug 1, 2025 Accepting new patients
App of Southern Arizona HM LLC Hospitalist CurrentSince Nov 3, 2021 Accepting new patients
Hawaiian Island Clinics CurrentSince Jun 1, 2025 Accepting new patients
Comprehensive Hospitalist Services of Arizona LLC Hospitalist Current Accepting new patients
Sound Physicians of Hawaii Inc Internal Medicine CurrentSince Nov 1, 2015 Accepting new patients
Scripps Clinic Medical Group, Inc Past Accepting new patients
Scripps Clinic Medical Group Past Accepting new patients
Fountain Valley Group Services PC Past Accepting new patients
Kona Hospital Past Accepting new patients

Locations

2735 Silver Creek Rd
Bullhead City, AZ 86442
Phone (520) 763-2273

1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300

1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500

1003 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 445-2700

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311

2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

1426 Montana Ave
Ste 2
Santa Monica, CA 90403
Phone (310) 388-6798

215 W Janss Rd
Thousand Oaks, CA 91360
Phone (805) 379-5435

347 N Kuakini St
Honolulu, HI 96817
Phone (808) 536-2236

79-1019 Haukapila St
Kealakekua, HI 96750
Phone (808) 322-4413

Interoperability endpoints

  • Direct secure messaging: yfarrag405908@hisp.ehr.sutterhealth.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 2

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1588694475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 N DATE ST",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253413",
            "telephone_number": "760-737-2035",
            "fax_number": "760-741-2782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 S CANDY LN",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264158",
            "telephone_number": "928-639-5588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 N Date St",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "920253413",
            "country_code": "US",
            "telephone_number": "760-739-2371",
            "fax_number": "760-739-2376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARRAG",
        "first_name": "YASSER",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "53737",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A81307",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottonwood, AZ

Sources for this page

Verify at the official NPI Registry.