Roosevelt Yates Jr.

Primary specialty

DriverTaxonomy code 172A00000X

License

F7584255 Issued in CA

Practice address

13848 Almetz St
Sylmar, CA 91342-1730

Phone

(818) 403-6533

NPI assigned

Jan 21, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579564800000",
    "number": "1982234878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13848 ALMETZ ST",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913421730",
            "telephone_number": "818-403-6533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13848 ALMETZ ST",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913421730",
            "telephone_number": "818-403-6533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATES",
        "first_name": "ROOSEVELT",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-21",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "CA",
            "license": "F7584255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "FCGSQ0LNHG01",
            "affiliation": "N",
            "endpointDescription": "Electronic Device",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13848 Almetz St",
            "city": "Sylmar",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913421730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Meghna Yalamanchi
• Yan Home Health Inc
• Menchie Maramag Yanagidaira, PHARMD
• Haelim Yang
• William Yang, MD
• Taoshin Yawn, OTR/L
• Danielle Yee
• Megan Dominique Leonido Yee, MD
• Randy Yeh I, M.D.
• Dennis Yick, MD

• Driver in Sylmar, CA
• Providers in Sylmar, CA by specialty
• Driver in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; 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.