Individual provider Active NPI

Patrick Yassini, M.D.

  • Family Medicine Physician
  • Coronado, CA
National Provider Identifier
1649353095
Registry record updated Aug 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G83939 Issued in CA
Practice address
131 Orange Ave
#100
Coronado, CA 92118-1408
Phone
(619) 522-4005
Fax
(619) 522-4014
NPI assigned
Oct 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G83939 CA Primary

Addresses

Primary practice location

131 Orange Ave
#100
Coronado, CA 92118-1408

Mailing address

131 Orange Ave
#100
Coronado, CA 92118-1408
Phone (619) 522-4005

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
I20050602000658 CA Practitioner - Family Practice 0042252967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

120 C Ave
Suite 140
Coronado, CA 92118-1979

120 C Ave
Suite 140
Coronado, CA 92118-1990
Phone (619) 522-4005

131 Orange Ave
Suite 100
Coronado, CA 92118-1320

Hospital & facility affiliations

  • Sharp Coronado Hospital and Hlthcr Ctr Hospital, Coronado, CA, CCN 050234
  • Sharp Memorial Hospital Hospital, San Diego, CA, CCN 050100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vipeak PC CurrentSince Jun 17, 2024 Accepting new patients

Locations

131 Orange Ave
Ste 100
Coronado, CA 92118
Phone (619) 522-4005

131 Orange Ave
#100
Coronado, CA 92118
Phone (619) 522-4005

Organizations & group practices 1

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.

Hospital & facility affiliations 3

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": "1161388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439164800000",
    "number": "1649353095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 ORANGE AVE",
            "address_2": "#100",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921181408",
            "telephone_number": "619-522-4005",
            "fax_number": "619-522-4014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 ORANGE AVE",
            "address_2": "#100",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921181408",
            "telephone_number": "619-522-4005",
            "fax_number": "619-522-4014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YASSINI",
        "first_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-21",
        "last_updated": "2015-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G83939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coronado, CA

Sources for this page

Verify at the official NPI Registry.