DR. G GARRY YACOUB OD
NPI 1205959673
Point of Service in Concord, CA

Active since April 09, 2007
1460 WASHINGTON BLVD, A101, CONCORD, CA 94521(925) 672-4100 Get Directions Write a Review

NPPES record last updated: January 11, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. G Garry Yacoub Od NPPES

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

DR. G GARRY YACOUB OD (NPI 1205959673) is a healthcare organization registered as a point of service in Concord, California and active in the NPI registry since April 2007. The organization lists G Garry Yacoub, Owner, as its authorized official.

NPPES Registry Identity

NPI1205959673
Entity TypeOrganization
Primary Taxonomy305S00000X
Legal Business NameDR. G GARRY YACOUB OD
Location Address1460 WASHINGTON BLVD, A101Concord, CA 94521-4048
Mailing Address1460 Washington Blvd, A101Concord, CA 94521-4048 · (925) 672-4100
Organization SubpartNo
Authorized OfficialG Garry YacoubOwner · (925) 672-4100
Enumeration DateApril 9, 2007
Last NPPES UpdateJanuary 11, 2008
NPI 1205959673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
License Licensed in CA · 05621
Definition

This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

1460 WASHINGTON BLVD, Concord, CA 94521

Other Identifiers 1

Medicare PINSD0056210CA

Other Providers at the Same Location NPPES 4

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

Speech-Language Pathologist
1460 WASHINGTON BLVD, SUITE 2014
CONCORD, CA 94521
Speech-Language Pathologist
1460 WASHINGTON BLVD, #2014
CONCORD, CA 94521
Speech-Language Pathologist
1460 WASHINGTON BLVD, SUITE #2014
CONCORD, CA 94521
Optometrist
1460 WASHINGTON BLVD, SUITE A-101
CONCORD, CA 94521

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 Dr. G Garry Yacoub Od's NPI number?

The NPI number for Dr. G Garry Yacoub Od is 1205959673. It was assigned to this organization in the NPPES registry on April 9, 2007.

Where is Dr. G Garry Yacoub Od located?

Dr. G Garry Yacoub Od is located at 1460 Washington Blvd A101, Concord, CA 94521. The listed phone number is (925) 672-4100.

What is Dr. G Garry Yacoub Od's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

When was this NPI record last updated?

The NPPES record for Dr. G Garry Yacoub Od was last updated on January 11, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.