Gorge Yakoub

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95063795 Issued in CA

Practice address

1225 W 190TH St Ste 280
Gardena, CA 90248-4305

Phone

(310) 515-8113

NPI assigned

Oct 21, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Ehab Yacoub MD Inc.

  • Child & Adolescent Psychiatry Physician
  • Gardena, CA
  • NPI 1417373713
  NPD
• Hope Psychiatricare Inc

  • Psychiatry Physician
  • Los Angeles, CA
  • NPI 1679314025
  NPD (past)

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

{
    "created_epoch": "1666310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1689391682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14541 DELANO ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 W 190TH ST STE 280",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902484305",
            "telephone_number": "310-515-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAKOUB",
        "first_name": "GORGE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-21",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95022810",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95063795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sondra Wyman, P.T.
• Zuriel Obadiah X Chester
• Mickaelle Xavir-Navilys
• William Xu, PT, DPT
• Hajime Yajima, DC
• Lisa Ashley Yamagishi, DPT
• Craig Haruo Yamamoto, D.D.S.
• Eunesse May Yamamoto, RDH
• Ron H Yamane, M.D.
• Yoko Yamane

• Registered Nurse in Gardena, CA
• Providers in Gardena, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.