Y William Barsoum MD Inc

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

A91481 Issued in CA

Legal business name

Y WILLIAM BARSOUM MD INC

Doing business as

Central Valley Kidney Center

Practice address

1700 S Court St
Suite D
Visalia, CA 93277-4929

Phone

(559) 697-6290

Fax

(559) 697-6291

NPI assigned

Sep 16, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Yasser William Barsoum, MDNPI 1467618363

Title

Owner

Phone

(559) 697-6290

Specialties & licenses 1

Addresses

Other names 1

• Central Valley Kidney Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FFGGBD

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yasser William Barsoum, MD

  • Nephrology Physician
  • Visalia, CA
  • NPI 1467618363
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1316131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487116800000",
    "number": "1699057505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 S COURT ST",
            "address_2": "SUITE D",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932774929",
            "telephone_number": "559-697-6290",
            "fax_number": "559-697-6291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S COURT ST",
            "address_2": "SUITE D",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932774929",
            "telephone_number": "559-697-6290",
            "fax_number": "559-697-6291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "Y WILLIAM BARSOUM MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-16",
        "last_updated": "2017-02-15",
        "status": "A",
        "authorized_official_last_name": "BARSOUM",
        "authorized_official_first_name": "YASSER",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-697-6290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A91481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Valley Kidney Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Side XI, MD
• Felicia Xiong
• Khoua Xiong, CASE MANAGER
• Maggie Xiong, MD
• Eileen Xue
• Adrian Yabut, DO
• Natalia Yado
• William Scott Yale, M.D.
• Alexis Yancy
• Danny Michael Jones Yancy

• Nephrology Physician in Visalia, CA
• Providers in Visalia, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.