NPIMap

Organization Active NPI

Vipeak PC

Doing business as Peak Health Group

  • Clinic/Center
  • Coronado, CA
National Provider Identifier
1659127454
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
VIPEAK PC
Doing business as
Peak Health Group
Practice address
131 Orange Ave # 100
Coronado, CA 92118-1408
Phone
(619) 522-4005
Fax
(619) 522-4014
NPI assigned
Apr 24, 2024
Last updated
Nov 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Authorized official

Name
Dr. Patrick Yassini, MDNPI 1649353095
Title
Owner
Phone
(619) 522-4005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary
Adult Medicine Physician 207QA0505X NU

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

Other names 1

  • Peak Health Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240808000697 CA Part B Supplier - Clinic/Group Practice 4082151055 Receives reassigned benefits from 1 practitioner
Practice locations: Coronado, CA

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1659127454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 ORANGE AVE # 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 # 100",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921181408",
            "telephone_number": "619-522-4005",
            "fax_number": "619-522-4014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIPEAK PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "YASSINI",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-522-4005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peak Health Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coronado, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.