DR. THEODOR YASKO MD
NPI 1154023323
Student in an Organized Health Care Education/Training Program in Tulare, CA

Q: What is Theodor Yasko's NPI number?

The NPI number for Theodor Yasko is 1154023323. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Q: What is Theodor Yasko's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Theodor Yasko was last updated on March 20, 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.

Active since March 20, 2023PECOS Enrolled

2059 HILLMAN ST, TULARE, CA 93274(559) 605-0148 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Theodor Yasko Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THEODOR YASKO MD (NPI 1154023323) is an individual student in an organized health care education/training program in Tulare, California and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1154023323

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. THEODOR YASKOCredential: MD

Location Address2059 HILLMAN STTulare, CA 93274-1609

Mailing Address2059 N. Hillman StTulare, CA 93274-1609 · (559) 605-0148

Phone(559) 605-0148

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateMarch 20, 2023

NPPES CertifiedMarch 20, 2023

✔ NPI 1154023323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2059 HILLMAN ST, Tulare, CA 93274

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Theodor Yasko Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486007473

PECOS Enrollment IDI20260512003987

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LOURDES CONCEPCION MARTINEZ CARTAGENA

Student in an Organized Health Care Education/Training Program