Active NPI
Yaagoub Eisa Salih II, Y.S
- Non-emergency Medical Transport (VAN)
- Tempe, AZ
National Provider Identifier
1780984849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- D02291055
- Practice address
- 1750 E Gaylon Dr
Tempe, AZ 85282-2719 - Phone
- (480) 255-8817
- NPI assigned
- Oct 22, 2010
- Last updated
- Oct 22, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | D02291055 | AZ | Primary |
Addresses
Primary practice location
1750 E Gaylon Dr
Tempe, AZ 85282-2719
Mailing address
1750 E Gaylon Dr
Tempe, AZ 85282-2719
Phone (480) 255-8817
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 534465 | Medicaid | AZ |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D02291055 | AZ | MD | Non-emergency Medical Transport (VAN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287705600000",
"number": "1780984849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1750 E GAYLON DR",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852822719",
"telephone_number": "480-255-8817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 E GAYLON DR",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852822719",
"telephone_number": "480-255-8817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALIH",
"first_name": "YAAGOUB",
"middle_name": "EISA",
"name_prefix": "Mr.",
"name_suffix": "II",
"credential": "Y.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-10-22",
"last_updated": "2010-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "AZ",
"license": "D02291055",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "534465",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.