Organization Active NPI

Nina Yaftali

  • Internal Medicine Physician
  • Yreka, CA
National Provider Identifier
1710530696
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NINA YAFTALI
Practice address
444 Bruce St
Yreka, CA 96097-3450
Phone
(702) 453-3799
Fax
(702) 453-5741
NPI assigned
Jul 19, 2019
Last updated
Mar 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Authorized official

Name
Nina Yaftali, D.O.
Title
Sole Owner
Phone
(818) 667-3520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

444 Bruce St
Yreka, CA 96097-3450

Mailing address

1014 S Westlake Blvd # 14-107
Westlake Village, CA 91361-3108
Phone (702) 453-3799

National Provider Directory

National Provider Directory

Locations

1014 S Westlake Blvd
#14107
Westlake Vlg, CA 91361

NPI Registry JSON

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1710530696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 S WESTLAKE BLVD # 14-107",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913613108",
            "telephone_number": "702-453-3799",
            "fax_number": "702-453-5741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 BRUCE ST",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960973450",
            "telephone_number": "702-453-3799",
            "fax_number": "702-453-5741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NINA YAFTALI",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-19",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A",
        "authorized_official_last_name": "YAFTALI",
        "authorized_official_first_name": "NINA",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "818-667-3520",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yreka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.