YASMIN FAZLI M.D.
NPI 1124714712
Student in an Organized Health Care Education/Training Program in Rancho Mirage, CA
About Yasmin Fazli M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
YASMIN FAZLI M.D. (NPI 1124714712) is an individual student in an organized health care education/training program in Rancho Mirage, California and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Yasmin Fazli M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Yasmin Fazli reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Apple Valley, CA 92308
- Reassigned Medicare billing, California enrollment
- 1,699 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RANCHO MIRAGE, CA 92270
RANCHO MIRAGE, CA 92270
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Yasmin Fazli's NPI number?
The NPI number for Yasmin Fazli is 1124714712. It was assigned to this individual provider in the NPPES registry on April 17, 2023.
Where is Yasmin Fazli located?
Yasmin Fazli practices at 39000 Bob Hope Dr Ofc Ste 201, Rancho Mirage, CA 92270. The listed phone number is (760) 773-4504.
What is Yasmin Fazli's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Yasmin Fazli enrolled in Medicare?
Yes. Yasmin Fazli is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Yasmin Fazli's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Yasmin Fazli reassigns Medicare benefits to Providence Medical Foundation (Apple Valley, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Yasmin Fazli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Yasmin Fazli was last updated on April 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Yasmin Fazli, M.D. · NPI 1124714712
Student in an Organized Health Care Education/Training Program provider in Rancho Mirage, California. Individual provider, active in the CMS NPPES registry since April 17, 2023.
## Identity
- **NPI:** 1124714712 (Entity type: Individual)
- **Enumerated:** April 17, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 39000 BOB HOPE DR OFC STE 201, Rancho Mirage, CA 92270-3221
- **Phone:** (760) 773-4504
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Providence Medical Foundation (NPI 1053616706, Apple Valley, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** April 17, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1124714712) · Data from the CMS NPPES public registry.