Active NPI
Elizabeth Yushuva Rpac, PLLC
- Surgery Physician
- Glendale, AZ
National Provider Identifier
1669079109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- ELIZABETH YUSHUVA RPAC, PLLC
- Practice address
- 23220 N 71St Dr
Glendale, AZ 85310-5872 - Phone
- (718) 737-6972
- NPI assigned
- Oct 7, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Arthur Yushuva, MD
- Title
- Physician
- Phone
- (347) 239-8882
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary | ||
| Physician Assistant | 363A00000X |
Addresses
Primary practice location
23220 N 71St Dr
Glendale, AZ 85310-5872
Mailing address
23220 N 71St Dr
Glendale, AZ 85310-5872
Phone (718) 737-6972
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1602028800000",
"number": "1669079109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23220 N 71ST DR",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853105872",
"telephone_number": "718-737-6972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23220 N 71ST DR",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853105872",
"telephone_number": "718-737-6972"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELIZABETH YUSHUVA RPAC, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-07",
"last_updated": "2020-10-07",
"certification_date": "2020-10-07",
"status": "A",
"authorized_official_last_name": "YUSHUVA",
"authorized_official_first_name": "ARTHUR",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "347-239-8882",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.