Individual provider Active NPI

Salah Yousef, CRNA

  • Certified Registered Nurse Anesthetist
  • Temecula, CA
National Provider Identifier
1942270319
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
123790 Issued in MA
Practice address
31625 De Portola Rd Ste 101
Temecula, CA 92592-2770
Phone
(951) 501-4200
Fax
(951) 900-3108
NPI assigned
Jan 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 123790 MA Primary

Addresses

Primary practice location

31625 De Portola Rd Ste 101
Temecula, CA 92592-2770

Mailing address

31625 De Portola Rd Ste 101
Temecula, CA 92592-2770
Phone (951) 501-4200

Other identifiers 2

IdentifierTypeStateIssuer
90333OtherMAFALLON
P00096823OtherRAILROAD

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)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1141CAMDProfessional Counselor
123790MAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Vincent Physician Services, Inc. PastSince Aug 23, 2020 Accepting new patients
Merrimack Valley Anesthesia Nurse Anesthetist, Certified Registered Past Accepting new patients
Merrimack Valley Anesthesia Associates, PC Past Accepting new patients
Anesthetics of Massachusetts, PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthetics of Lowell, PC Past Accepting new patients

Organizations & group practices 5

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": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1942270319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31625 DE PORTOLA RD STE 101",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925922770",
            "telephone_number": "951-501-4200",
            "fax_number": "951-900-3108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31625 DE PORTOLA RD STE 101",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925922770",
            "telephone_number": "951-501-4200",
            "fax_number": "951-900-3108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUSEF",
        "first_name": "SALAH",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "123790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON",
            "identifier": "90333",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00096823",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.