Provider Demographics
NPI:1609018464
Name:BRIAN YOST DO, INC
Entity Type:Organization
Organization Name:BRIAN YOST DO, INC
Other - Org Name:ETHOS ORTHOPEDIC SURGEONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:TODD
Authorized Official - Last Name:YOST
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:951-346-2004
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-25
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A8500207X00000X
207X00000X, 207XS0106X, 207XS0117X, 207XX0005X, 207XX0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
No207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand SurgeryGroup - Multi-Specialty
No207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Multi-Specialty
No207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports MedicineGroup - Multi-Specialty
No207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic TraumaGroup - Multi-Specialty