DIANA MARJAN YASHAR (NPI# 1740849967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740849967 |
| Entity Type | Individual |
| Full Name | DIANA MARJAN YASHAR |
| Practice Address |
1959 Kingsdale Ave Redondo Beach CA 90278-3417 |
| Mailing Address |
8542 Saturn St Unit 2 Los Angeles CA 90035-3619 |
| Practice Telephone | 3102141000 |
| Mailing Telephone | 3104975467 |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2020-07-08 |
| NPI Deactivation Date | 10/29/2019 |
| NPI Reactivation Date | 2020-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F01190884 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1805 Honey Creek Cmns Se Ste B, Conyers, GA 300135829 | 7709227000 |
| Street Address |
1959 KINGSDALE AVE |
| City | REDONDO BEACH |
| State | CA |
| Zip Code | 90278-3417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063434900 | Soma Medical Group | Internal Medicine | 1959 Kingsdale Ave, Redondo Beach, CA 90278-3417 | 2006-07-23 |
| 1811530959 | Sokmom Lim Ung | Nurse Practitioner | 1959 Kingsdale Ave, Redondo Beach, CA 90278-3417 | 2019-10-22 |
| 1740626100 | Annalissa Llavan Flores | Nurse Practitioner | 1959 Kingsdale Ave, Redondo Beach, CA 90278-3417 | 2013-05-13 |
| 1336585819 | Josephine Reyes Cabugnason | Nurse Practitioner | 1959 Kingsdale Ave, Redondo Beach, CA 90278-3417 | 2013-05-10 |
| 1255462248 | Sohail Davoudian | Internal Medicine | 1959 Kingsdale Ave, Redondo Beach, CA 90278-3417 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194354233 | Bobby Kou | Occupational Therapist | 2012 Mathews Ave #b, Redondo Beach, CA 90278 | 2020-04-01 |
| 1053827329 | Bright Day Therapy Center Inc | Occupational Therapist | 2602 Nelson Ave, Redondo Beach, CA 90278 | 2017-12-21 |
| 1902147978 | Nancy A Livingston | Nurse Practitioner | 100 Medical Plaza Suite 630 East, Los Angeles, CA 90278 | 2013-03-15 |
| 1437460599 | Su Jin Feuer | Social Worker | 2113 Vanderbilt Ln Unit C, Redondo Beach, CA 90278 | 2010-06-23 |
| 1477711372 | Sormeh Rastegar Panah | Dentist | 2731 Manhattan Beach Blvd, Redondo Beach, CA 90278 | 2008-05-28 |
| 1124244348 | James A Nguyen Dds A Dental Corp | Dentist | 1738 Aviation Blvd., Redondo Beach, CA 90278 | 2007-04-17 |
| 1730233628 | Kenneth D Ochi | Dentist | 1444 Aviation Blvd, Suite # 201, Redondo Beach, CA 90278 | 2007-01-22 |
| 1609935675 | Allen Joseph Selner | Podiatrist | 2850 Artesia Boulevard, Suite 204, Redondo Beach, CA 90278 | 2006-12-06 |
| 1184794430 | Reza Khaghani | General Practice | 1959 Kingsdale Avenue, Rodondo Beach, CA 90278 | 2006-11-08 |
| 1932291473 | Mathew James Deville | Chiropractor | 1981 Artesia Blvd, Redondo Beach, CA 90278 | 2006-09-29 |
| Find all providers in zip 90278 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689273385 | Kia Jean Sonne | Nurse Practitioner | 2407 Mathews Ave Unit B, Redondo Beach, CA 90278-3284 | 2020-10-22 |
| 1801368626 | Ashley Beth Ciccarello | Nurse Practitioner | 1718 Esplanade Apt 524, Redondo Beach, CA 90277-5339 | 2018-12-18 |
| 1447667886 | Maria Paz Goco Reyes | Nurse Practitioner | 1700 Wollacott St, Redondo Beach, CA 90278-2836 | 2014-07-17 |
| 1619904760 | Judith Ann Johnson | Nurse Practitioner | 205 S Francisca Ave, #4, Redondo Beach, CA 90277-3354 | 2006-06-26 |
| 1811530959 | Sokmom Lim Ung | Nurse Practitioner | 1959 Kingsdale Ave, Redondo Beach, CA 90278-3417 | 2019-10-22 |
| 1992218101 | Redondo Beach Physical Medicine | Nurse Practitioner | 901 N Pacific Coast Hwy Ste 101, Redondo Beach, CA 90277-2162 | 2017-11-09 |
| 1912444225 | Eva Li | Nurse Practitioner | 502 Torrance Blvd, Redondo Beach, CA 90277 | 2017-01-24 |
| 1750795902 | Joanne Ostrea Pasco | Nurse Practitioner | 502 Torrance Blvd, Redondo Beach, CA 90277-3413 | 2014-06-16 |
| 1336585819 | Josephine Reyes Cabugnason | Nurse Practitioner | 1959 Kingsdale Ave, Redondo Beach, CA 90278-3417 | 2013-05-10 |
| 1073958070 | Tina Marie Johnson | Nurse Practitioner | 1300 S Pacific Coast Hwy, Suite 201, Redondo Beach, CA 90277-5003 | 2013-05-03 |
| Find all providers in REDONDO BEACH | ||||
| City | REDONDO BEACH |
| Zip Code | 90278 |
Please comment or provide details below to improve the information on DIANA MARJAN YASHAR.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.