Individual provider Active NPI

Ellen Louise Yankauskas, MD MPH

  • Family Medicine Physician
  • Atascadero, CA
National Provider Identifier
1881794816
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A44775 Issued in CA
Practice address
7619 Morro Rd
Atascadero, CA 93422-4433
Phone
(805) 461-5800
Fax
(805) 464-4461
NPI assigned
Sep 22, 2006
Last updated
Feb 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X A44775 CA
Family Medicine Physician 207Q00000X A44775 CA Primary

Addresses

Primary practice location

7619 Morro Rd
Atascadero, CA 93422-4433

Mailing address

7619 Morro Rd
Atascadero, CA 93422-4433
Phone (805) 461-5800

Other practice location 1

9700 El Camino Real
Suite 100
Atascadero, CA 93422-5569
Phone (805) 461-9000

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A44775CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Philnln, Inc. Family Medicine CurrentSince Feb 23, 2020 Accepting new patients
Philnln, Inc Family Medicine PastSince Feb 23, 2020 Accepting new patients

Locations

7619 Morro Rd
Atascadero, CA 93422
Phone (805) 461-5800

7619 Morro Rd
#J
Atascadero, CA 93422
Phone (805) 461-9192

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1881794816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7619 MORRO RD",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934224433",
            "telephone_number": "805-461-5800",
            "fax_number": "805-464-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7619 MORRO RD",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934224433",
            "telephone_number": "805-461-5800",
            "fax_number": "805-464-4461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9700 El Camino Real",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Atascadero",
            "state": "CA",
            "postal_code": "934225569",
            "country_code": "US",
            "telephone_number": "805-461-9000",
            "fax_number": "805-461-9001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANKAUSKAS",
        "first_name": "ELLEN",
        "middle_name": "LOUISE",
        "credential": "MD MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "CA",
            "license": "A44775",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A44775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atascadero, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.