Nizar A Yaqub, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

A29913 Issued in CA

Practice address

880 Cass St
Ste 108
Monterey, CA 93940-2948

Phone

(831) 869-3411

NPI assigned

Nov 13, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1942371455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 CASS ST",
            "address_2": "STE 108",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939402948",
            "telephone_number": "831-275-4050",
            "fax_number": "831-275-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 CASS ST",
            "address_2": "STE 108",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939402948",
            "telephone_number": "831-869-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAQUB",
        "first_name": "NIZAR",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A29913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Elizabeth Wright, PH.D.
• Lisa A Wyatt, M.S.
• Pamela Yamashita
• Jose Yanez
• Roshini Yapa
• Santi Yarlagadda, MD
• Bobby Yee, D.P.M.
• George W Yee, M.D
• Cary Yeh, M.D.
• Charisse Sepulveda Yenko

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.