MEDICARE: EVERI YANES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2355S0801X	Speech-Language Assistant	6475	CA

General Provider Information

NPI Number	:	1467305201
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EVERI YANES

Provider Business Mailing Address
First Line	:	1161 DON CARLOS CT
Second Line	:
City	:	SAN JACINTO
State	:	CA
Zip	:	92582-5819
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	28005 BRADLEY RD STE 105
Second Line	:
City	:	MENIFEE
State	:	CA
Zip	:	92586-2252
Country	:	US
Telephone Number	:	951-292-0224
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/19/2026
Last Update Date	:	02/19/2026

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Directions to “ EVERI YANES ” Practice Location

Language	Start Address	Practice Location

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