Individual provider Active NPI

Siamak Yasmeh, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Loma Linda, CA
National Provider Identifier
1811320849
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
A126694 Issued in CA
Practice address
11406 Loma Linda Dr Ste 226
Loma Linda, CA 92354-3711
Phone
(909) 558-6444
NPI assigned
Aug 13, 2013
Last updated
Aug 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A126694 CA
Orthopaedic Surgery of the Spine Physician 207XS0117X A126694 CA Primary

Addresses

Primary practice location

11406 Loma Linda Dr Ste 226
Loma Linda, CA 92354-3711

Mailing address

11406 Loma Linda Dr Ste 226
Loma Linda, CA 92354-3711
Phone (909) 558-6444

Other practice location 1

621 Science Dr
Madison, WI 53711
Phone (608) 265-3207

Other practice location 2

621 Science Dr
Madison, WI 53711
Phone (608) 265-3207

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
I20150302002507 CA Practitioner - Orthopedic Surgery 5799001103 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of South Carolina School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kevin J Pelton MD IncGroup PAC ID 3375625486, 38 clinicians

Practice addresses (Care Compare)

1700 E Cesar E Chavez Ave
Suite 2200
Los Angeles, CA 90033-2476
Phone (323) 264-7600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion13
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A126694CAMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Faculty Physicians and Surgeons of Llusm Multi-Specialty Current Accepting new patients
Yasmeh Multi-Specialty Current Accepting new patients
Faculty Physicians and Surgeons of Llusm Multi-Specialty CurrentSince Nov 16, 2018 Accepting new patients
Faculty Physicians and Surgeons of Llusm Multi-Specialty CurrentSince Nov 16, 2018 Accepting new patients
Kevin J. Pelton MD, Inc. Multi-Specialty CurrentSince Dec 1, 2022 Accepting new patients
Kevin J Pelton MD Inc Orthopaedic Surgery CurrentSince Dec 1, 2022 Accepting new patients
Kevin J. Pelton MD, Inc. Orthopaedic Surgery Past Accepting new patients

Locations

1505 Wilson Ter
Ste 310
Glendale, CA 91206
Phone (818) 419-2597

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

11406 Loma Linda Dr
Ste 300
Loma Linda, CA 92354
Phone (909) 558-6277

25455 Barton Rd
Loma Linda, CA 92354
Phone (909) 558-2808

1127 Wilshire Blvd
Ste 408
Los Angeles, CA 90017
Phone (213) 482-2460

1700 E Cesar E Chavez Ave
Ste 2200
Los Angeles, CA 90033
Phone (323) 264-7600

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

1686 Barton Rd
Redlands, CA 92373
Phone (909) 558-9200

12215 Telegraph Rd
Ste 112
Santa Fe Springs, CA 90670
Phone (562) 548-2230

18840 Ventura Blvd
Ste 204
Tarzana, CA 91356
Phone (818) 708-3333

258 Lombard St
Ste 200
Thousand Oaks, CA 91360
Phone (213) 793-4072

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: syasmeh194667@direct.llu.edu

Organizations & group practices 7

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 3

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": "1376352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1811320849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11406 LOMA LINDA DR STE 226",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543711",
            "telephone_number": "909-558-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11406 LOMA LINDA DR STE 226",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543711",
            "telephone_number": "909-558-6444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "621 Science Dr",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "53711",
            "country_code": "US",
            "telephone_number": "608-265-3207",
            "fax_number": "608-263-4995",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "621 Science Dr",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "53711",
            "country_code": "US",
            "telephone_number": "608-265-3207",
            "fax_number": "608-263-4995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YASMEH",
        "first_name": "SIAMAK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-13",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A126694",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CA",
            "license": "A126694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

Verify at the official NPI Registry.