Mitra Yarbrough

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

VN686824 Issued in CA

Practice address

1300 W Sumner Ave
Lake Elsinore, CA 92530-3216

Phone

(949) 283-5888

NPI assigned

May 11, 2022

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1851037865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W SUMNER AVE",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925303216",
            "telephone_number": "949-283-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W SUMNER AVE",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925303216",
            "telephone_number": "949-283-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARBROUGH",
        "first_name": "MITRA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN686824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gelmy Wooten
• Teresa Wright
• Biplav Yadav, MD
• Lauren Yadon, PPS
• Geovanny Gabriela Yanes
• Phillip F Ybarra, C053610518
• Victor Yoshida
• Valencia Youkhanna, B.A.
• Sara Yusufaly
• Veronica Zambrano

• Licensed Vocational Nurse in Lake Elsinore, CA
• Providers in Lake Elsinore, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.