Individual provider Active NPI

Elizabeth Yanni, M.D.

  • Internal Medicine Physician
  • Aliso Viejo, CA
National Provider Identifier
1780857003
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A109283 Issued in CA
Practice address
15 Mareblu Ste 350
Aliso Viejo, CA 92656-3056
Phone
(949) 767-8834
Fax
(949) 767-8835
NPI assigned
Apr 8, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A109283 CA
Internal Medicine Physician 207R00000X A109283 CA Primary

Addresses

Primary practice location

15 Mareblu Ste 350
Aliso Viejo, CA 92656-3056

Mailing address

15 Mareblu Ste 350
Aliso Viejo, CA 92656-3056
Phone (949) 767-8834

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121115000136 CA Practitioner - Internal MedicinePractitioner - Pediatric Medicine 2668623992 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of California, Irvine, California College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

15 Mareblu
Suite 350
Aliso Viejo, CA 92656-3056
Phone (949) 767-8834

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
109283CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Trinitas Medical Group MD Prof Inc Internal Medicine CurrentSince Jun 26, 2025 Accepting new patients
Hoag Hospital Past Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients

Locations

15 Mareblu
Ste 350
Aliso Viejo, CA 92656
Phone (949) 495-4305

Interoperability endpoints

  • Direct secure messaging: elizabeth.yanni.1@33681.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1780857003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MAREBLU STE 350",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563056",
            "telephone_number": "949-767-8834",
            "fax_number": "949-767-8835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MAREBLU STE 350",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563056",
            "telephone_number": "949-767-8834",
            "fax_number": "949-767-8835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANNI",
        "first_name": "ELIZABETH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-08",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A109283",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A109283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aliso Viejo, CA

Sources for this page

Verify at the official NPI Registry.