NPIMap

Individual provider Active NPI

Yahya John Talieh, M.D.

  • Specialist
  • Modesto, CA
National Provider Identifier
1780624619
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A73331 Issued in CA
Practice address
1401 Spanos CT
Suite 203
Modesto, CA 95355-2810
Phone
(209) 522-0600
Fax
(209) 491-0116
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A73331 CA Primary

Addresses

Primary practice location

1401 Spanos CT
Suite 203
Modesto, CA 95355-2810

Mailing address

PO Box 577134
Modesto, CA 95357-7134
Phone (209) 522-0600

Other identifiers 1

IdentifierTypeStateIssuer
00A733310MedicaidCA

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
I20040127000292 CA Practitioner - Thoracic SurgeryPractitioner - Vascular SurgeryPractitioner - Cardiac Surgery 3476455627 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Cardiac Surgery, Vascular Surgery
Education
University of Texas Medical School at Houston, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1401 Spanos CT
Suite 203
Modesto, CA 95355-2813
Phone (209) 522-0600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
25.08 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
83.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)19
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A73331CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
John Talieh Medical Corp CurrentSince Jul 28, 2012 Accepting new patients
Doctors Medical Center of Modesto, Inc. Past Accepting new patients
John Talieh Medical Corporation Specialist Past Accepting new patients
Memorial Hospital Past Accepting new patients
Doctors Hospital of Manteca, Inc. Past Accepting new patients
Western Associates in Surgery Past Accepting new patients

Locations

1401 Spanos Ct
Ste 203
Modesto, CA 95355
Phone (209) 522-0600

2209 Coffee Rd
Ste M
Modesto, CA 95355
Phone (209) 484-9855

1329 Spanos Ct
Ste C1
Modesto, CA 95355
Phone (209) 522-0600

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jtalieh57116@hisp.ehr.sutterhealth.org

Organizations & group practices 6

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.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1780624619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 577134",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953577134",
            "telephone_number": "209-522-0600",
            "fax_number": "209-491-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 SPANOS CT",
            "address_2": "SUITE 203",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552810",
            "telephone_number": "209-522-0600",
            "fax_number": "209-491-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALIEH",
        "first_name": "YAHYA",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A73331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A733310",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.