Provider Demographics
NPI:1245597640
Name:YASSIN, ENAS RASHID (MD,BSN, NP-C)
Entity type:Individual
Prefix:DR
First Name:ENAS
Middle Name:RASHID
Last Name:YASSIN
Suffix:
Gender:F
Credentials:MD,BSN, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1850 EL CAMINO REAL STE 200
Mailing Address - Street 2:
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010-3102
Mailing Address - Country:US
Mailing Address - Phone:650-697-2431
Mailing Address - Fax:650-697-3659
Practice Address - Street 1:1850 EL CAMINO REAL STE 200
Practice Address - Street 2:
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-3102
Practice Address - Country:US
Practice Address - Phone:650-697-2431
Practice Address - Fax:650-697-3659
Is Sole Proprietor?:No
Enumeration Date:2012-04-23
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP95027385363LA2200X, 363LG0600X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CANP95027385OtherLICENSE