Lior Manasherian-Yaccobe

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

A122933 Issued in CA

Practice address

12370 Hesperia Rd Ste 6
Heritage Victor Valley Medical Group
Victorville, CA 92395-4787

Phone

(760) 245-4747

NPI assigned

Sep 14, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: lior.manasherianyaccobe.p3@direct.hvvmg.nextgenshare.com

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.

• High Desert Medical Group

  • Multi-Specialty Clinic/Center
  • Lancaster, CA
  • NPI 1720196702
  Medicare reassignment NPD
• Vvipa Medical Group Inc

  • Clinic/Center
  • Victorville, CA
  • NPI 1295126001

  Hospitalist

  NPD

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373932800000",
    "number": "1780992511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1252 DANIELS DR APT 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351165",
            "telephone_number": "310-948-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12370 HESPERIA RD STE 6",
            "address_2": "HERITAGE VICTOR VALLEY MEDICAL GROUP",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923954787",
            "telephone_number": "760-245-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANASHERIAN-YACCOBE",
        "first_name": "LIOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-14",
        "last_updated": "2013-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A122933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edmund John Ong Malapote, PT
• Monica Maldonado
• Maleeh Orthodontics DDS Ms, Inc.
• Imad Maleeh, DDS, MS
• Majd Mamari
• Veena Mandava, MD
• Lawrence D Mangiapane III
• Jashaun Manly
• Yuriyah Manus, LMFT
• Daniela Manzat

• Hospitalist Physician in Victorville, CA
• Providers in Victorville, CA by specialty
• Hospitalist Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.