NPIMap

Individual provider Active NPI

Moussa Yazbeck, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Walnut Creek, CA
National Provider Identifier
1760415855
Registry record updated Nov 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
A87574 Issued in CA
Practice address
1601 Ygnacio Valley Rd
Walnut Creek, CA 94598-3122
Phone
(925) 937-0404
Fax
(925) 937-1340
NPI assigned
Jul 9, 2006
Last updated
Nov 5, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X E3824 AR
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A87574 CA Primary

Addresses

Primary practice location

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598-3122

Mailing address

1455 Montego
Suite 200
Walnut Creek, CA 94598-2990
Phone (925) 937-0404

Other identifiers 3

IdentifierTypeStateIssuer
5M633OtherARAR BCBS
200021000AMedicaidOK
150250001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120814000346 CA Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Other (Physician) 4789589250 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Internal Medicine
Education
Other, 1998
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Moussa F Yazbeck MD IncGroup PAC ID 6800116989, 5 clinicians
Bay Area Neurointensivists IncGroup PAC ID 1850725672, 8 clinicians

Practice addresses (Care Compare)

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598-3122
Phone (925) 939-3000

1601 Ygnacio Vly Rd
Walnut Creek, CA 94596-0921
Phone (925) 939-3000

323 Lennon LN
Walnut Creek, CA 94598-2497
Phone (925) 726-3876

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.63 of 100Reported as group
Quality
67.56
Improvement activities
40
Cost
71.56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A87574CAMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Moussa F Yazbeck MD Inc CurrentSince Apr 1, 2015 Accepting new patients
John Muir Trauma Physicians Billing Service Current Accepting new patients
Bay Area Neurointensivists Inc Critical Care Medicine CurrentSince Nov 1, 2019 Accepting new patients
Van Buren Hma Inc Past Accepting new patients
Liberty Emergency Physicians LLC Past Accepting new patients
Diablo Neurosurgical Medical Group, Inc. Past Accepting new patients
Mercy Hospital Waldron Past Accepting new patients
St. Edward Mercy Medical Center Past Accepting new patients
Mercy Hospital Paris PastSince Jan 1, 1990 Accepting new patients
St Edward Medical Services, Inc. Past Accepting new patients
Brandon McCutcheon MD PC Past Accepting new patients
Tyler Emergency Physicians Past Accepting new patients
Phillips Landing Emergency Physicians LLC Past Accepting new patients
Mercy Medical Services, Inc Past Accepting new patients
Mercy Hospital Paris PastSince Jan 1, 1990 Accepting new patients
Mercy Hospital Paris PastSince Jan 1, 1990 Accepting new patients
Nes Western Arkansas, Inc Past Accepting new patients

Locations

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

323 Lennon Ln
Walnut Creek, CA 94598
Phone (925) 430-5335

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 17

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352073600000",
    "number": "1760415855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 MONTEGO",
            "address_2": "SUITE 200",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982990",
            "telephone_number": "925-937-0404",
            "fax_number": "925-937-1340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 YGNACIO VALLEY RD",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983122",
            "telephone_number": "925-937-0404",
            "fax_number": "925-937-1340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAZBECK",
        "first_name": "MOUSSA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2012-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E3824",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A87574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR BCBS",
            "identifier": "5M633",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200021000A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150250001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.