Individual provider Active NPI

Phillip Yousef, PA

  • Physician Assistant
  • Glen Oaks, NY
National Provider Identifier
1679052534
Registry record updated Aug 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
7927 257TH St
Glen Oaks, NY 11004-1228
Phone
(917) 480-7384
NPI assigned
Aug 11, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

7927 257TH St
Glen Oaks, NY 11004-1228

Mailing address

7927 257TH St
Glen Oaks, NY 11004-1228
Phone (917) 480-7384

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220926000538 CA Practitioner - Physician Assistant 6204212491 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
California Dermatology Institute PCGroup PAC ID 6800177460, 25 clinicians

Practice addresses (Care Compare)

3095 Old Conejo Rd
Suite 200
Thousand Oaks, CA 91320-2130
Phone (888) 367-1850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
57901CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Heacock Health Medical Group, Inc. CurrentSince Oct 19, 2025 Accepting new patients
Remedial Patients Care Inc CurrentSince Oct 18, 2025 Accepting new patients
Onyx Medical Group Inc CurrentSince Oct 19, 2025 Accepting new patients
Vital Medical Group, Inc CurrentSince Oct 18, 2025 Accepting new patients
Ac and CS PastSince Oct 18, 2025 Accepting new patients

Locations

1451 Rimpau Ave
Ste 213
Corona, CA 92879
Phone (951) 268-6272

1451 Rimpau Ave
Ste 212
Corona, CA 92879
Phone (951) 346-0041

1314 W Glenoaks Blvd
Ste 205
Glendale, CA 91201
Phone (818) 396-5158

24060 Fir Ave
Ste A
Moreno Valley, CA 92553
Phone (951) 243-6460

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1533945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533945600000",
    "number": "1679052534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7927 257TH ST",
            "city": "GLEN OAKS",
            "state": "NY",
            "postal_code": "110041228",
            "telephone_number": "917-480-7384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7927 257TH ST",
            "city": "GLEN OAKS",
            "state": "NY",
            "postal_code": "110041228",
            "telephone_number": "917-480-7384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUSEF",
        "first_name": "PHILLIP",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-11",
        "last_updated": "2018-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Oaks, NY

Sources for this page

Verify at the official NPI Registry.