Mark Youssef MD. Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A49793 Issued in CA

Legal business name

MARK YOUSSEF MD. INC.

Practice address

275 S San Gabriel Blvd
Pasadena, CA 91107-4893

Phone

(626) 796-3552

Fax

(626) 796-3552

NPI assigned

Apr 28, 2010

Organization subpart

No

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

Authorized official

Name

Mark M Youssef, MD

Title

President

Phone

(626) 796-3552

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272412800000",
    "number": "1912224189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 S SAN GABRIEL BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911074893",
            "telephone_number": "626-796-3552",
            "fax_number": "626-796-3552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 S SAN GABRIEL BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911074893",
            "telephone_number": "626-796-3552",
            "fax_number": "626-796-3552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK YOUSSEF MD. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-28",
        "last_updated": "2010-04-28",
        "status": "A",
        "authorized_official_last_name": "YOUSSEF",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-796-3552",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A49793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A497930",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; 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.