Physician Compare National (NPI:1881077592)

HEALTHCARE PROVIDER: NINA YAFTALI D.O

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1881077592
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6204146855
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20151110002864
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	YAFTALI
	Individual professional last name
Provider First Name	NINA
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2017
	Individual professional's medical school graduation year
Primary Specialty	SPORTS MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	300 CANAL ST
	Group Practice or individual's line 1 address
City	KING CITY
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	939303431
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	051316
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	FAIRCHILD MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	051321
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	HEALDSBURG DISTRICT HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	050189
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	GEORGE L MEE MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	051325
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	MENDOCINO COAST DISTRICT HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	051320
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	BANNER LASSEN MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1881077592)

HEALTHCARE PROVIDER: NINA YAFTALI D.O

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information