Mazin K Yaldo MD PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G70910 Issued in CA

Legal business name

MAZIN K YALDO MD PC

Practice address

2810 Camino del Rio S
Suite 106
San Diego, CA 92108-3818

Phone

(619) 255-6584

Fax

(619) 501-9054

NPI assigned

Feb 14, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Mazin K Yaldo, MDNPI 1043221187

Title

President/Owner

Phone

(313) 278-4540

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mazin K Yaldo, MD

  • Ophthalmology Physician
  • Farmington Hills, MI
  • NPI 1043221187
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1360800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401148800000",
    "number": "1629317433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31535 FORD RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481351821",
            "telephone_number": "313-278-4540",
            "fax_number": "313-278-4541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 CAMINO DEL RIO S",
            "address_2": "SUITE 106",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083818",
            "telephone_number": "619-255-6584",
            "fax_number": "619-501-9054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAZIN K YALDO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-14",
        "last_updated": "2014-05-27",
        "status": "A",
        "authorized_official_last_name": "YALDO",
        "authorized_official_first_name": "MAZIN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "313-278-4540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G70910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1043221187",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "HA945A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donya Mazdeyasnan
• Gillian Maze
• Nida Mazel
• Theodore M. Mazer, M.D.
• Alejandra Mazi
• Daniel Mazin-Lugo
• Jeffrey Byron Mazin, M.D.,F.A.C.S.,INC.
• Kiran Kaur Mazloom
• Jennifer Mazner, ASW
• Ashley Mazon

• Ophthalmology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.