Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QG0300X | Family Doctor - Geriatric Medicine | 22143 | NE |
N | 207R00000X | Internist | 22143 | NE |
N | 111NI0900X | Internist | 22143 | NE |
Y | 207R00000X | Internist | C52794 | CA |
Y | 111NI0900X | Internist | C52794 | CA |
NPI | 1033154018 |
---|---|
Provider Name | Dr. Arash Nassim Yazd |
First Address | Sacramento, CA 95835-1319 |
Second Address | Sacramento, CA 95834 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2006 |
Last Update Date | 03/07/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H56136 | (02) | NE |