Individual provider Active NPI

Yana Garazha, MD, PHD

  • Student in an Organized Health Care Education/Training Program
  • San Mateo, CA
National Provider Identifier
1902517550
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
835 N Humboldt St Apt 402
San Mateo, CA 94401-1459
Phone
(323) 540-5580
NPI assigned
Dec 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 0277180641885 ZZ
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

835 N Humboldt St Apt 402
San Mateo, CA 94401-1459

Mailing address

835 N Humboldt St Apt 402
San Mateo, CA 94401-1459

Other names 1

  • Yana Aznavour Professional name

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)
Not enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0277180641885ZZMDGynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1902517550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 N HUMBOLDT ST APT 402",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944011459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 N HUMBOLDT ST APT 402",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944011459",
            "telephone_number": "323-540-5580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARAZHA",
        "first_name": "YANA",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "ZZ",
            "license": "0277180641885",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YANA",
            "last_name": "AZNAVOUR",
            "credential": "MD, PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.