Active NPI
Yasaman Mohtasebi, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Long Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- A134195
- Practice address
- 1868 Pacific Ave
Long Beach, CA 90806-6113 - Phone
- (562) 595-4718
- Fax
- (562) 591-7323
- NPI assigned
- Jan 9, 2008
- 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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | A134195 | CA | Primary |
Addresses
Primary practice location
1868 Pacific Ave
Long Beach, CA 90806-6113
Mailing address
5150 E Pacific Coast Hwy Ste 500
Long Beach, CA 90804-3328
Phone (562) 299-5200
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
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1050 Linden Ave
Long Beach, CA 90813-3321
Phone (562) 491-9000
1760 Termino Ave
Long Beach, CA 90804-2169
2801 Atlantic Ave
Long Beach, CA 90806-1701
Phone (562) 728-5034
Hospital & facility affiliations
- Memorialcare Long Beach Medical Center
- St Mary Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A134195 | CA | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prohealth Partners, a Medical Group | Current | Accepting new patients | |
| Prohealth Partners a Medical Group Inc | Current | Accepting new patients | |
| Prohealth Partners, a Medical Group, Inc. | Current | Accepting new patients | |
| Monongahela Valley Hospital Inc | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Jefferson Regional Medical Center | Past | Accepting new patients | |
| Prohealth Partners a Medical Group Inc | Past | Accepting new patients | |
| Long Beach Memorial Medical | Past | Accepting new patients | |
| St. Mary Medical Center | Past | Accepting new patients | |
| Long Beach Memorial Medical | Past | Accepting new patients |
Locations
2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000
1760 Termino Ave
Ste 214
Long Beach, CA 90804
Phone (562) 595-4718
5150 E Pacific Coast Hwy
Ste 500
Long Beach, CA 90804
Phone (562) 299-5200
3801 Katella Ave
Ste 330
Los Alamitos, CA 90720
Phone (562) 594-9546
File 54567
Los Angeles, CA 90074
Phone (310) 491-9060
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 10
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.
-
- Internal Medicine Physician
- Lakewood, CA
- NPI 1003949975
-
- Internal Medicine Physician
- Long Beach, CA
- NPI 1588969638
-
- Internal Medicine Physician
- Pico Rivera, CA
- NPI 1912899394
-
- General Acute Care Hospital
- Long Beach, CA
- NPI 1194840421
-
- Rehabilitation Hospital Unit
- Long Beach, CA
- NPI 1396791414
-
- Children's Hospital
- Long Beach, CA
- NPI 1477596583
-
- Internal Medicine Physician
- Lakewood, CA
- NPI 1093848509
-
- General Acute Care Hospital
- Apple Valley, CA
- NPI 1669456299
-
- General Acute Care Hospital
- Clairton, PA
- NPI 1336117787
-
- General Acute Care Hospital
- Monongahela, PA
- NPI 1902987878
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Long Beach, CA
- NPI 1194840421
-
- General Acute Care Hospital
- Long Beach, CA
- NPI 1962442012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509408000000",
"number": "1962687889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5150 E PACIFIC COAST HWY STE 500",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908043328",
"telephone_number": "562-299-5200",
"fax_number": "562-299-5294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1868 PACIFIC AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908066113",
"telephone_number": "562-595-4718",
"fax_number": "562-591-7323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHTASEBI",
"first_name": "YASAMAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-09",
"last_updated": "2017-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "CA",
"license": "A134195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.