Individual provider Active NPI

Yasmine Hannah Shahbaz, ASW

  • Clinical Social Worker
  • Long Beach, CA
National Provider Identifier
1942936059
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
103518
Practice address
320 Pine Ave Ste 609
Long Beach, CA 90802-2310
Phone
(310) 571-5041
NPI assigned
Jul 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 103518 Primary

Addresses

Primary practice location

320 Pine Ave Ste 609
Long Beach, CA 90802-2310

Mailing address

320 Pine Ave Ste 609
Long Beach, CA 90802-2310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241108002258 CA Practitioner - Clinical Social Worker 6204360597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Flatow Medical Corporation ApcGroup PAC ID 6507273059, 23 clinicians

Practice addresses (Care Compare)

320 Pine Ave
Suite 609
Long Beach, CA 90802-2310
Phone (562) 279-0180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas and Flatow Medical Corporation CurrentSince Jul 31, 2022 Accepting new patients
Flatow Medical Corporation Apc CurrentSince Sep 11, 2024 Accepting new patients

Locations

16485 Laguna Canyon Rd
Ste 110
Irvine, CA 92618
Phone (310) 571-5041

320 Pine Ave
Ste 609
Long Beach, CA 90802
Phone (310) 571-5041

2211 Corinth Ave
Ste 300
Los Angeles, CA 90064
Phone (562) 279-0180

Organizations & group practices 2

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": "1659052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1942936059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 PINE AVE STE 609",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908022310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 PINE AVE STE 609",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908022310",
            "telephone_number": "310-571-5041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHBAZ",
        "first_name": "YASMINE",
        "middle_name": "HANNAH",
        "credential": "ASW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-29",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "103518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.