Individual provider Active NPI

Julianna Lasher Yates, PA-C

  • Medical Physician Assistant
  • Hanford, CA
National Provider Identifier
1770582181
Registry record updated Jul 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA12328 Issued in CA
Practice address
1025 N Douty St
Hanford, CA 93230-3722
Phone
(559) 537-0246
Fax
(559) 589-2209
NPI assigned
Jul 18, 2005
Last updated
Jul 24, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA12328 CA Primary

Addresses

Primary practice location

1025 N Douty St
Hanford, CA 93230-3722

Mailing address

1479 W Lacey Blvd
Hanford, CA 93230-5906
Phone (559) 583-4617

Other identifiers 2

IdentifierTypeStateIssuer
OPA123281OtherCAMEDICARE P/TAN
00AX65700MedicaidCA

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
PA12328CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Central California Faculty Medical Group, Inc. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406160000000",
    "number": "1770582181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1479 W LACEY BLVD",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932305906",
            "telephone_number": "559-583-4617",
            "fax_number": "559-583-4625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 N DOUTY ST",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932303722",
            "telephone_number": "559-537-0246",
            "fax_number": "559-589-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATES",
        "first_name": "JULIANNA",
        "middle_name": "LASHER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-18",
        "last_updated": "2014-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA12328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE P/TAN",
            "identifier": "OPA123281",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX65700",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanford, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.