Basic Information
Provider Information
NPI: 1043576481
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARAIN
FirstName: YASSAR
MiddleName:  
NamePrefix: MR.
NameSuffix:  
Credential:  
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Mailing Information
Address1: 9300 CAMPUS POINT DR # MC7774
Address2:  
City: LA JOLLA
State: CA
PostalCode: 920371300
CountryCode: US
TelephoneNumber: 4045858966
FaxNumber:  
Practice Location
Address1: 235 S PALISADE DR
Address2:  
City: SANTA MARIA
State: CA
PostalCode: 934545948
CountryCode: US
TelephoneNumber: 8057393561
FaxNumber: 8057393560
Other Information
ProviderEnumerationDate: 04/10/2012
LastUpdateDate: 11/01/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/01/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000XA126850CAN Allopathic & Osteopathic PhysiciansPediatrics 
208M00000XA126850CAN Allopathic & Osteopathic PhysiciansHospitalist 
2080N0001XA126850CAY Allopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine

No ID Information.


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