Active NPI
Nadine H Yassa, MD
- Neurology with Special Qualifications in Child Neurology Physician
- Roseville, CA
National Provider Identifier
1689656647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- A48720
- Practice address
- 991 Reserve Drive
Suite a
Roseville, CA 95678-1340 - Phone
- (916) 789-8811
- Fax
- (916) 789-8809
- NPI assigned
- Nov 16, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | A48720 | CA | Primary |
Addresses
Primary practice location
991 Reserve Drive
Suite a
Roseville, CA 95678-1340
Mailing address
991 Reserve Drive
Suite a
Roseville, CA 95678-1340
Phone (916) 789-8811
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00190174 | Other | RAILROAD MEDICARE | |
| 00A487201 | Medicaid | CA | |
| CGP159990 | Other | CA | MEDICAID CCS PROVIDER NUMBER |
| 00A487202 | Other | CA | MEDICARE PTAN - INDIVIDUAL |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
991 Reserve Dr
Suite a
Roseville, CA 95678-1350
Phone (916) 789-8811
Hospital & facility affiliations
- Arias Home Health
- Sutter Roseville Medical Center
- Sutter Auburn Faith Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.59 of 100
- Quality
- 68.86
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.76
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nadine H. Yassa, M.D., Inc. | Neurology With Special Qualifications in Child Neurology | Current | Accepting new patients |
| Sutter North Medical Foundation | Past | Accepting new patients | |
| Sutter Valley Medical Foundation | Past | Accepting new patients |
Locations
991 Reserve Dr
Ste A
Roseville, CA 95678
Phone (916) 789-8811
991 Reserve Dr
Roseville, CA 95678
Phone (916) 786-4700
Organizations & group practices 3
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.
-
- Neurology with Special Qualifications in Child Neurology Physician
- Roseville, CA
- NPI 1265620405
-
- Ambulatory Surgical Clinic/Center
- Yuba City, CA
- NPI 1144251521
-
- Radiology Clinic/Center
- Davis, CA
- NPI 1700974961
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Roseville, CA
- NPI 1538508791
-
- General Acute Care Hospital
- Auburn, CA
- NPI 1194774299
-
- General Acute Care Hospital
- Roseville, CA
- NPI 1356390264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357862400000",
"number": "1689656647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "991 RESERVE DRIVE",
"address_2": "SUITE A",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956781340",
"telephone_number": "916-789-8811",
"fax_number": "916-789-8809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "991 RESERVE DRIVE",
"address_2": "SUITE A",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956781340",
"telephone_number": "916-789-8811",
"fax_number": "916-789-8809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YASSA",
"first_name": "NADINE",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-16",
"last_updated": "2013-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "CA",
"license": "A48720",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00190174",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A487201",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID CCS PROVIDER NUMBER",
"identifier": "CGP159990",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN - INDIVIDUAL",
"identifier": "00A487202",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.