MEDICARE: KASHIF YAQUB M.D.

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	207R00000X	Internal Medicine Physician	A125063	CA
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	A125063	CA
3	207RP1001X	Pulmonary Disease Physician	A125063	CA

General Provider Information

NPI Number	:	1124348479
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KASHIF YAQUB M.D.

Provider Business Mailing Address
First Line	:	4440 VON KARMAN AVE STE 350
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-2082
Country	:	US
Telephone Number	:	949-678-8885
Fax Number	:	949-335-9820

Provider Business Practice Location Address
First Line	:	4440 VON KARMAN AVE STE 350
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-2082
Country	:	US
Telephone Number	:	949-678-8885
Fax Number	:	949-335-9820

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

Provider Enumeration Date	:	06/09/2010
Last Update Date	:	06/24/2025

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