Individual provider Active NPI

Yash P Verma, MD, MPH

  • General Practice Physician
  • Selma, CA
National Provider Identifier
1619971439
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
C39061 Issued in CA
Practice address
1850 Whitson St
Selma, CA 93662-3609
Phone
(559) 896-1414
Fax
(559) 896-5082
NPI assigned
Jun 9, 2005
Reactivated
Apr 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C39061 CA
General Practice Physician 208D00000X C39061 CA Primary
Rural Health Clinic/Center 261QR1300X C39061 CA

Addresses

Primary practice location

1850 Whitson St
Selma, CA 93662-3609

Mailing address

1850 Whitson St
Selma, CA 93662-3609
Phone (559) 896-1414

Other identifiers 1

IdentifierTypeStateIssuer
00C390611MedicaidCA

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
I20080117000352 CA Practitioner - General Practice 5193806925 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C39061CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Healthcare Network CurrentSince Jul 1, 2019 Accepting new patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network CurrentSince Jul 1, 2019 Accepting new patients
Immediate Health Care Rural Health PastSince Jan 1, 1990 Accepting new patients

Locations

290 N Wayte Ln
Fresno, CA 93701
Phone (559) 459-4101

1850 Whitson St
Selma, CA 93662
Phone (559) 896-1414

305 E Center Ave
Visalia, CA 93291
Phone (559) 737-4792

Organizations & group practices 4

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": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201564800000",
    "number": "1619971439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 WHITSON ST",
            "city": "SELMA",
            "state": "CA",
            "postal_code": "936623609",
            "telephone_number": "559-896-1414",
            "fax_number": "559-896-5082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 WHITSON ST",
            "city": "SELMA",
            "state": "CA",
            "postal_code": "936623609",
            "telephone_number": "559-896-1414",
            "fax_number": "559-896-5082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERMA",
        "first_name": "YASH",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2008-01-29",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C39061",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "C39061",
            "primary": true
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "CA",
            "license": "C39061",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C390611",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Selma, CA

Sources for this page

Verify at the official NPI Registry.