Yaser a Slayyeh M D F a C C a Medical Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

License

A56032 Issued in CA

Legal business name

YASER A SLAYYEH M D F A C C A MEDICAL CORPORATION

Practice address

399 E Highland Ave
Suite 215
San Bernardino, CA 92404-3808

Phone

(909) 882-3300

Fax

(909) 882-3512

NPI assigned

Apr 18, 2007

Organization subpart

No

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

Authorized official

Name

Yaser A Slayyeh, MDNPI 1932174612

Title

President

Phone

(909) 882-3300

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Yaser A Slayyeh, M.D.

  • Specialist
  • San Bernardino, CA
  • NPI 1932174612
  Medicare reassignment NPD Authorized official
• Wadih Antony Hawat, D.O.

  • Internal Medicine Physician
  • Moreno Valley, CA
  • NPI 1275705931
  Medicare reassignment NPD

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565654400000",
    "number": "1659597458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 E HIGHLAND AVE",
            "address_2": "SUITE 215",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924043808",
            "telephone_number": "909-882-3300",
            "fax_number": "909-882-3512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 E HIGHLAND AVE",
            "address_2": "SUITE 215",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924043808",
            "telephone_number": "909-882-3300",
            "fax_number": "909-882-3512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YASER A SLAYYEH M D F A C C A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2019-08-13",
        "status": "A",
        "authorized_official_last_name": "SLAYYEH",
        "authorized_official_first_name": "YASER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-882-3300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A56032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A56032",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GRP ID",
            "identifier": "DB9077",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A560320",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Marie Yarber
• Raynisha Yarbough
• Ethan Thomas Yarbrough
• Kyle A Yaross, ATC
• Vicenta Yasay, NP
• Nancy Sue Yates, PPS
• Cloromisa Kristy Ybarra
• Denise Ybarra
• Gloria A. Ybarra
• Joe Ybarra

• Specialist in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; 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.