DR. YASIR NIHAD JASSAM MBCHB MRCP(UK) NPI 1508154428

NPI Information

NPI: 1508154428
Provider Name: DR. YASIR NIHAD JASSAM, MBCHB MRCP(UK)
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

Organization: NEWPORT NEUROHOSPITALIST MEDICAL GROUP, INC

PECOS Registration: Yes

Address:
520 SUPERIOR AVE STE 205
NEWPORT BEACH, CA
ZIP 92663
Phone: (949) 764-1444
Get Directions

DR. Yasir Nihad Jassam, MBCHB MRCP(UK) is a neurology psychiatry neurology in Newport Beach, CA with 21 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. Yasir Nihad Jassam, MBCHB MRCP(UK) NPI is 1508154428. 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:

520 SUPERIOR AVE STE 205
NEWPORT BEACH, CA
ZIP 92663-667
Phone: (949) 764-1444

The NPI 1508154428 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 7/12/2011 and was last updated on 4/9/2021.

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	2084N0400X	Psychiatry & Neurology	Neurology	C170183	CALIFORNIA	Yes
2	2084N0400X	Psychiatry & Neurology	Neurology	2020033624	MISSOURI	No
3	2084N0400X	Psychiatry & Neurology	Neurology	D78917	MARYLAND	No
4	2084N0400X	Psychiatry & Neurology	Neurology	04-39503	KANSAS	No

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	86-2006117	OTHER		IRS

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: 11/14/2023

NPI Synchronization or Removal

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