Kevin Carreon Yabes, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

36247 Issued in CA

Practice address

12625 High Bluff Dr Ste 220
San Diego, CA 92130-2054

Phone

(808) 336-7306

NPI assigned

Oct 2, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Imua Health Group LLCGroup PAC ID 4082042650, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Imua Health Group, LLC

  • Psychologist
  • Aiea, HI
  • NPI 1023648995

  Mental Health

  Medicare reassignment Care Compare group NPD
• Imua Heart

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Aiea, HI
  • NPI 1265119416
  NPD (past)

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1639654940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12625 HIGH BLUFF DR STE 220",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302054",
            "telephone_number": "808-336-7306",
            "fax_number": "808-309-7184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12625 HIGH BLUFF DR STE 220",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302054",
            "telephone_number": "808-336-7306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YABES",
        "first_name": "KEVIN",
        "middle_name": "CARREON",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-02",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NM",
            "license": "PSY-2025-0055",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "36247",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "HI",
            "license": "PSY-2286",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hui Xue, MD
• Xuejun Yan DMD Apc
• Xusheng Mu, D.D.S., Inc.
• Y & F Transpot, LLC
• Y&L Community Care Solutions LLC
• Kristie A Yackle, OD
• Alona Mary Yacobovsky, DPT, CWS, COMT
• Jack Yacoo, M.D.
• Neal Yacoo
• Robert C Yacullo, MD

• Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; 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.

Verify at the official NPI Registry.