JACQUELINE E YARIS M.D.
NPI 1558375485
Internal Medicine in Beverly Hills, CA

Q: What is Jacqueline Yaris's NPI number?

The NPI number for Jacqueline Yaris is 1558375485. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Q: What is Jacqueline Yaris's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Yaris was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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 July 28, 2006PECOS EnrolledAccepts Medicare Assignment

9725 WILSHIRE BLVD, BEVERLY HILLS, CA 90212(323) 305-7150(323) 305-7149 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Jacqueline E Yaris M.d. NPPES

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

JACQUELINE E YARIS M.D. (NPI 1558375485) is an individual internal medicine provider in Beverly Hills, California, licensed in California (G81181) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of University Of Southern California Keck School Of Medicine (1993).

NPPES Registry Identity

NPI1558375485

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameJACQUELINE E YARISCredential: M.D.

Location Address9725 WILSHIRE BLVDBeverly Hills, CA 90212-2002

Mailing Address9725 Wilshire BlvdBeverly Hills, CA 90212-2002 · (323) 305-7150 · Fax (323) 305-7149

Phone(323) 305-7150

Fax(323) 305-7149

Sole ProprietorNo

Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 1993

Enumeration DateJuly 28, 2006

Last NPPES UpdateMarch 10, 2025

NPPES CertifiedMarch 10, 2025

✔ NPI 1558375485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · G81181

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

9725 WILSHIRE BLVD, Beverly Hills, CA 90212

Open in Google Maps ↗

Secondary Practice Location 1

Location 1632 Broadway PhNew York, NY 10012-2614 · Phone (800) 731-4254

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacqueline E Yaris M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032302864

PECOS Enrollment IDI20101025000669

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.

Medicare Billing Reassignments

Medicare enrollment records show Jacqueline Yaris reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Providence Saint Johns Medical Foundation

4.9 mi

Specialist

2121 SANTA MONICA BLVD
Santa Monica, CA 90404

Reassigned Medicare billing, California enrollment
461 clinicians in this Medicare group

NPI 1770093734 (310) 582-7312

Toiyabe Indian Health Project, Inc

227 mi

Federally Qualified Health Center (FQHC)

250 N SEE VEE LN
Bishop, CA 93514

Reassigned Medicare billing, California enrollment
31 clinicians in this Medicare group

NPI 1659433191 (760) 873-8464

Southern Mono Health Care District

248 mi

Critical Access Hospital

85 SIERRA PARK RD
Mammoth Lakes, CA 93546

Reassigned Medicare billing, California enrollment
113 clinicians in this Medicare group

NPI 1962444059 (760) 934-3311

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90212 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers14 claims35 services$4.79 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

3 suppliers12 claims16 services$0.85 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers17 claims17 services$21.26 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

1 supplier13 claims13 services$17.97 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers28 claims28 services$119.32 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

CHRISTINA VU PHAM

Family Medicine