Active NPI
Yuliya Eduardovna Proosaselts, M.D.
- Psychiatry Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A133675
- Practice address
- 1250 6TH Ave Ste 100
San Diego, CA 92101-4368 - Phone
- (619) 515-2430
- NPI assigned
- May 18, 2013
- Last updated
- Mar 17, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A133675 | CA | Primary |
Addresses
Primary practice location
1250 6TH Ave Ste 100
San Diego, CA 92101-4368
Mailing address
823 Gateway Center Way
San Diego, CA 92102-4541
Other practice location 1
823 Gateway Center Way
San Diego, CA 92102-4541
Phone (619) 515-2300
Other practice location 2
3544 30th St
San Diego, CA 92104-4120
Phone (619) 515-2424
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: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 133675 | CA | MD | Marriage & Family Therapist |
| A133675 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of San Diego | Current | Accepting new patients | |
| County of San Diego | Current | Accepting new patients | |
| County of San Diego | Current | Accepting new patients | |
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Family Health Centers of San Diego, Inc | Current | Accepting new patients |
Locations
1000 Broadway
Ste 210
El Cajon, CA 92021
Phone (619) 401-5500
1250 6th Ave
Ste 100
San Diego, CA 92101
Phone (619) 515-2430
1250 Morena Blvd
San Diego, CA 92110
Phone (619) 692-8715
1809 National Ave
San Diego, CA 92113
Phone (619) 515-2500
3177 Ocean View Blvd
San Diego, CA 92113
Phone (619) 231-9300
3544 30th St
San Diego, CA 92104
Phone (619) 515-2424
3853 Rosecrans St
San Diego, CA 92110
Phone (619) 615-0439
823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Public Health or Welfare Agency
- San Diego, CA
- NPI 1225255375
-
dba Logan Heights Family Health Center
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1447281936
-
- Community/Behavioral Health Agency
- San Diego, CA
- NPI 1255744587
-
dba San Diego County Fire Protection District
- Ambulance
- San Diego, CA
- NPI 1316685159
-
dba Escondido Physical Health and Wellness
- Federally Qualified Health Center (FQHC)
- Escondido, CA
- NPI 1356178180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1952747875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "823 GATEWAY CENTER WAY",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921024541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 6TH AVE STE 100",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921014368",
"telephone_number": "619-515-2430"
}
],
"practiceLocations": [
{
"address_1": "823 Gateway Center Way",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921024541",
"country_code": "US",
"telephone_number": "619-515-2300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3544 30th St",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921044120",
"country_code": "US",
"telephone_number": "619-515-2424",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PROOSASELTS",
"first_name": "YULIYA",
"middle_name": "EDUARDOVNA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-18",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A133675",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.