Active NPI
Yasser Farrag, M.D
- Internal Medicine Physician
- Cottonwood, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 53737
- Practice address
- 269 S Candy LN
Cottonwood, AZ 86326-4158 - Phone
- (928) 639-5588
- NPI assigned
- Jul 4, 2006
- Last updated
- Jun 30, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| A81307 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kansal Inc | Internal Medicine | Current | Accepting new patients |
| Comprehensive Hospitalist Services of Arizona, LLC | Hospitalist | Current | Accepting new patients |
| Naz Hospitalists Inc | Hospitalist | Current | Accepting new patients |
| App of Southern Arizona HM LLC | Hospitalist | Current | Accepting new patients |
| Hawaiian Island Clinics | Current | Accepting new patients | |
| Comprehensive Hospitalist Services of Arizona LLC | Hospitalist | Current | Accepting new patients |
| Sound Physicians of Hawaii Inc | Internal Medicine | Current | 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
- 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.
-
- Urgent Care Clinic/Center
- Honolulu, HI
- NPI 1518752609
-
- Hospitalist Physician
- Mesa, AZ
- NPI 1689909780
-
- Internal Medicine Physician
- Kealakekua, HI
- NPI 1740658053
-
- Hospitalist Physician
- Alhambra, CA
- NPI 1265658595
-
- Internal Medicine Physician
- Apple Valley, CA
- NPI 1184663965
-
- Internal Medicine Physician
- San Bernardino, CA
- NPI 1952792475
-
- Hospitalist Physician
- Bullhead City, AZ
- NPI 1265823215
-
- Hospitalist Physician
- Brentwood, TN
- NPI 1518542679
-
- Critical Care Medicine (Internal Medicine) Physician
- Indio, CA
- NPI 1194670349
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Yavapai Regional Medical Center
- General Acute Care Hospital
- Prescott, AZ
- NPI 1902897820
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1215939335
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.