Yannis M Stavropoulos, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

A35642 Issued in CA

Practice address

6061 N 1St St
Suite 101
Fresno, CA 93710-5470

Phone

(559) 449-7668

Fax

(559) 449-0641

NPI assigned

Jan 13, 2009

Last updated

Jan 14, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Yannis M Stavropoulos MD Inc

  • Specialist
  • Fresno, CA
  • NPI 1942394754
  Authorized official Same address or phone

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231891200000",
    "number": "1922245901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6061 N 1ST ST",
            "address_2": "SUITE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105470",
            "telephone_number": "559-449-7668",
            "fax_number": "559-449-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6061 N 1ST ST",
            "address_2": "SUITE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105470",
            "telephone_number": "559-449-7668",
            "fax_number": "559-449-0641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAVROPOULOS",
        "first_name": "YANNIS",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-13",
        "last_updated": "2009-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A35642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD OF CALIFORNIA",
            "identifier": "A35642",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stars Behavioral Health
• Start Fresh Central Valley Recovery
• State Health Care Dual Diagnosis
• State Health Care Dual Diagnosis Program
• Lynette Coleman Statham, LCSW
• Staywell Medical Group
• Rmanda Steadman
• Nicholas Stearns
• Diane Marie Steel, MS
• Deborah Ann Steele, RN, MFT, PHD

• Specialist in Fresno, CA
• Providers in Fresno, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; 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.