MR. YACOOB VAHED P.A.-C NPI 1386751121

NPI Information

NPI: 1386751121
Provider Name: MR. YACOOB VAHED, P.A.-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
447 OLD NEWPORT BLVD STE 200
NEWPORT BEACH, CA
ZIP 92663
Phone: (949) 650-3350
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MR. Yacoob Vahed, P.A.-C is a surgical physician assistant in Newport Beach, CA. MR. Yacoob Vahed, P.A.-C NPI is 1386751121. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

447 OLD NEWPORT BLVD STE 200
NEWPORT BEACH, CA
ZIP 92663-257
Phone: (949) 650-3350
Fax: (949) 650-1274

The NPI 1386751121 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/25/2006 and was last updated on 11/30/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	PA18422	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1750339479	OTHER	CALIFORNIA	NPI - GROUP
2	W10327	OTHER	CALIFORNIA	MCR GROUP ID
3	330204983	OTHER	CALIFORNIA	TAX ID
4	PA18422	OTHER	CALIFORNIA	LISC.

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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