Individual provider Active NPI

Edna Yarashevich

  • Nurse Practitioner
  • Yorba Linda, CA
National Provider Identifier
1972909968
Registry record updated Dec 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95001399 Issued in CA
Practice address
18613 Front Nine Way
Yorba Linda, CA 92886-7060
Phone
(818) 322-7536
NPI assigned
Nov 18, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95001399 CA Primary

Addresses

Primary practice location

18613 Front Nine Way
Yorba Linda, CA 92886-7060

Mailing address

18613 Front Nine Way
Yorba Linda, CA 92886-7060
Phone (818) 322-7536

Other identifiers 1

IdentifierTypeStateIssuer
00G756610MedicaidCA

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160627001113 CA Practitioner - Nurse Practitioner 7618268426 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
N Jauregui Professional Medical CorporationGroup PAC ID 9032514344, 7 clinicians

Practice addresses (Care Compare)

27725 Santa Margarita Pkwy
Suite 220
Mission Viejo, CA 92691-6707
Phone (877) 830-7328

Hospital & facility affiliations

  • St Mary Medical Center Hospital, Long Beach, CA, CCN 050191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medexa Medical Group, Corporation CurrentSince Mar 10, 2025 Accepting new patients
Hospitalist Care, a Medical Corporation CurrentSince Mar 1, 2019 Accepting new patients
N Jauregui Professional Medical Corporation CurrentSince Oct 1, 2025 Accepting new patients
J M Geiss DO Apc CurrentSince Sep 29, 2025 Accepting new patients
Reza Sharafi MD Inc CurrentSince Jan 14, 2017 Accepting new patients
Senior Doc Integrated Med, PC CurrentSince Sep 29, 2025 Accepting new patients
Complete Care Health Solutions PC CurrentSince Jul 1, 2024 Accepting new patients
Advanced Foot & Ankle PastSince Mar 10, 2025 Accepting new patients

Locations

11544 Downey Ave
Downey, CA 90241
Phone (562) 414-9846

1269 E Anaheim St
Long Beach, CA 90813
Phone (562) 591-0050

1050 Linden Ave
Long Beach, CA 90813
Phone (562) 491-9000

27725 Santa Margarita Pkwy
Ste 220
Mission Viejo, CA 92691
Phone (877) 830-7328

520 Superior Ave
Ste 255
Newport Beach, CA 92663
Phone (949) 720-9266

5 Hutton Centre Dr
Ste 950
Santa Ana, CA 92707
Phone (855) 434-7663

2204 E 4th St
Ste 106
Santa Ana, CA 92705
Phone (949) 832-1055

2204 E 4th St
Ste 107
Santa Ana, CA 92705
Phone (949) 832-1055

28650 Newhall Ranch Rd
Santa Clarita, CA 91355
Phone (661) 347-0051

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1416268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448928000000",
    "number": "1972909968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18613 FRONT NINE WAY",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928867060",
            "telephone_number": "818-322-7536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18613 FRONT NINE WAY",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928867060",
            "telephone_number": "818-322-7536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARASHEVICH",
        "first_name": "EDNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-18",
        "last_updated": "2015-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95001399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G756610",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorba Linda, CA

Sources for this page

Verify at the official NPI Registry.