Provider Demographics
NPI:1528036837
Name:YOST, BRIAN TODD (DO)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:TODD
Last Name:YOST
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4510 BROCKTON AVE STE 375
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92501-4020
Mailing Address - Country:US
Mailing Address - Phone:951-346-2004
Mailing Address - Fax:951-370-1365
Practice Address - Street 1:4510 BROCKTON AVE STE 375
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92501-4020
Practice Address - Country:US
Practice Address - Phone:951-346-2004
Practice Address - Fax:951-370-1365
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-10
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A8500207XS0114X, 207XX0801X
NY317334207XX0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Trauma
No207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAI28582Medicare UPIN