Individual provider Active NPI

Laura Melany Yassa, PA

  • Physician Assistant
  • Soquel, CA
National Provider Identifier
1689245904
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
4439 Esta LN
Soquel, CA 95073-2100
Phone
(831) 419-1309
NPI assigned
Jul 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

4439 Esta LN
Soquel, CA 95073-2100

Mailing address

4439 Esta LN
Soquel, CA 95073-2100

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
I20220826002435 CA Practitioner - Physician Assistant 5890179766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alta Orthopaedic Medical Group IncGroup PAC ID 7315837788, 22 clinicians

Practice addresses (Care Compare)

511 Bath St
Santa Barbara, CA 93101-3403
Phone (805) 963-9377

Merit-based Incentive Payment System (MIPS)

Final score
46.49 of 100Reported as group
Quality
34.52
Promoting interoperability
0
Improvement activities
40
Cost
70.46

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alta Orthopaedic Medical Group, Inc. CurrentSince Aug 1, 2022 Accepting new patients

Locations

511 Bath St
Santa Barbara, CA 93101
Phone (805) 963-9377

210 S Palisade Dr
Ste 201A
Santa Maria, CA 93454

2027 Village Ln
Ste 101
Solvang, CA 93463
Phone (805) 279-5579

Interoperability endpoints

  • Direct secure messaging: laura.yassa.1@1272.direct.athenahealth.com

Organizations & group practices 2

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": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1689245904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4439 ESTA LN",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "950732100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4439 ESTA LN",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "950732100",
            "telephone_number": "831-419-1309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YASSA",
        "first_name": "LAURA",
        "middle_name": "MELANY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-07",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Soquel, CA

Sources for this page

Verify at the official NPI Registry.