Jeffrey D Yusim MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A45129 Issued in CA

Legal business name

JEFFREY D YUSIM MD

Practice address

950 E Vista Way
Suite C
Vista, CA 92084-5200

Phone

(760) 295-7677

Fax

(760) 295-7690

NPI assigned

Oct 15, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey David Yusim, M.D.NPI 1659355907

Title

President

Phone

(760) 295-7677

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey David Yusim, M.D.

  • Family Medicine Physician
  • Vista, CA
  • NPI 1659355907
  NPD (past) Authorized official

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

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413331200000",
    "number": "1720482029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 E VISTA WAY",
            "address_2": "SUITE C",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920845252",
            "telephone_number": "760-295-7677",
            "fax_number": "760-295-7690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 E VISTA WAY",
            "address_2": "SUITE C",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920845200",
            "telephone_number": "760-295-7677",
            "fax_number": "760-295-7690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY D YUSIM MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-15",
        "last_updated": "2014-10-15",
        "status": "A",
        "authorized_official_last_name": "YUSIM",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-295-7677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A45129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Vista, CA
• Providers in Vista, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; 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.