Individual provider Active NPI

Vicenta Yasay, NP

  • Nurse Practitioner
  • San Bernardino, CA
National Provider Identifier
1881889145
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP12870 Issued in CA
Practice address
1819 Western Ave
San Bernardino, CA 92411-1307
Phone
(909) 898-5101
Fax
(833) 973-6254
NPI assigned
Sep 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X NP12870 CA
Nurse Practitioner 363L00000X NP12870 CA Primary

Addresses

Primary practice location

1819 Western Ave
San Bernardino, CA 92411-1307

Mailing address

1819 Western Ave
San Bernardino, CA 92411-1307
Phone (909) 898-5101

Other identifiers 1

IdentifierTypeStateIssuer
NP 12870OtherCANP 12870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
340329NYMDFamily Nurse Practitioner
NP12870CAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Welbehealth San Bernardino Pace, LLC PastSince Mar 30, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: vyasay@landmarkhealth-direct.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1881889145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 WESTERN AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924111307",
            "telephone_number": "909-898-5101",
            "fax_number": "833-973-6254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 WESTERN AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924111307",
            "telephone_number": "909-898-5101",
            "fax_number": "833-973-6254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YASAY",
        "first_name": "VICENTA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-10",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "NP12870",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP12870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP 12870",
            "identifier": "NP 12870",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.