Individual provider Active NPI

Lee D Yoseloff, MD

  • Psychiatry Physician
  • Long Beach, CA
National Provider Identifier
1760609952
Registry record updated Jun 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A23792 Issued in CA
Practice address
4525 E Atherton St
Long Beach, CA 90815-3700
Phone
(562) 961-0155
NPI assigned
Apr 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A23792 CA Primary

Addresses

Primary practice location

4525 E Atherton St
Long Beach, CA 90815-3700

Mailing address

4525 E Atherton St
Long Beach, CA 90815-3700
Phone (562) 961-0155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A23792CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Roads Foundation, Inc Current Accepting new patients
The Roads Foundation, Inc. Psychiatry CurrentSince Mar 2, 2015 Accepting new patients

Locations

4525 E Atherton St
Long Beach, CA 90815
Phone (562) 961-0155

Interoperability endpoints

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

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433980800000",
    "number": "1760609952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 E ATHERTON ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908153700",
            "telephone_number": "562-961-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 E ATHERTON ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908153700",
            "telephone_number": "562-961-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOSELOFF",
        "first_name": "LEE",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2015-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A23792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; 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.