NPIMap

Individual provider Active NPI

Joseph Yacoub, DPM

  • Foot & Ankle Surgery Podiatrist
  • Long Beach, CA
National Provider Identifier
1912498940
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E5732 Issued in CA
Practice address
1043 Elm Ave Ste 407
Long Beach, CA 90813-3206
Phone
(562) 491-0505
NPI assigned
May 25, 2018
Last updated
Feb 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E5732 CA Primary

Addresses

Primary practice location

1043 Elm Ave Ste 407
Long Beach, CA 90813-3206

Mailing address

1043 Elm Ave Ste 407
Long Beach, CA 90813-3206
Phone (562) 491-0505

Other practice location 1

3300 E South St Ste 306
Lakewood, CA 90805-4595
Phone (562) 633-5881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210812002765 CA Practitioner - Podiatry 9931503901 Reassigns benefits to 2 organizations
Practice locations: Long Beach, CA; Lakewood, CA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Western Un of HLTH Sciences, Col of Podiatric Med, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1043 Elm Ave
Suite 407
Long Beach, CA 90813-3206
Phone (562) 491-0505

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1020
Removal of nail tissue731
Removal or shaving of skin growth407

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E5732CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Philip S Schauweker D.P.M. Professional Podiatric Medicine Corporation CurrentSince Jul 1, 2021 Accepting new patients
La and Oc Foot and Ankle Surgery Inc Foot & Ankle Surgery CurrentSince Jan 31, 2026 Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Dignity Health Past Accepting new patients
Spencer Sterling DPM Past Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients
University of California Irvine Past Accepting new patients

Locations

5750 Downey Ave
Ste 203
Lakewood, CA 90712
Phone (562) 200-0334

1043 Elm Ave
Ste 407
Long Beach, CA 90813
Phone (562) 421-7199

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jyacoub712714@direct.memorialcare.org

Organizations & group practices 7

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1912498940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1043 ELM AVE STE 407",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133206",
            "telephone_number": "562-491-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1043 ELM AVE STE 407",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133206",
            "telephone_number": "562-491-0505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 E South St Ste 306",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CA",
            "postal_code": "908054595",
            "country_code": "US",
            "telephone_number": "562-633-5881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YACOUB",
        "first_name": "JOSEPH",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-25",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.