ALI YASSEN (M.D.) – Interventional Cardiology Physician, NPI 1528359296

ALI YASSEN (M.D.) is a healthcare provider. based in Santa rosa, California. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERVENTIONAL CARDIOLOGY. They hold the professional credentials M.D.. They hold a License No. A154552 (CA). The NPI Number for ALI YASSEN (M.D.) is 1528359296

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
ALI YASSEN (M.D.)
NPI
1528359296
Phone
(707) 525-6485
Address
3536 MENDOCINO AVE STE 200
Enumeration Date
28 April 2011
Last Update Date
25 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8043203911
Graduation Year
2009 (17 years ago)
PAC ID
4284875923
Group Practice PAC ID
5395838361
Professional Enrollment ID
I20200218000401
Address ID
VA232254017RI7101XRDXX300
Telehealth
Yes

Contacts

SOAP Endpoint
https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:15State licenses:1Other namesUpdated within 12 months

3,010 CARDIOVASCULAR DISEASE (CARDIOLOGY) in CA

Provider Addresses for ALI YASSEN (M.D.)

  • 3536 MENDOCINO AVE STE 200

    SANTA ROSA, CA 954033634

    Phone: (707) 525-6485

    Fax: (707) 573-6918

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $288.

Total Amount is formed as General ($288) + Research ($0) + Ownership ($0) = $288.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Cardiac Dimensions, Inc. ($133).

Total Amount

$288

General + Research + Ownership

Payments

8

Total payment records

General Amount

$288

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-02-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200218000401IInterventional CardiologyVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95403)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5395838361View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Internal MedicineVA
Nurse PractitionerVA
-VA
Cardiovascular Disease (Cardiology), Interventional CardiologyVA
Nurse PractitionerVA
Internal MedicineCT
Nurse PractitionerVA
Nurse PractitionerVA
Nurse PractitionerVA
Nurse PractitionerVA

Reviews

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Frequently asked questions

What NPI should I save for ALI YASSEN (M.D.)?
Save NPI 1528359296 if you need a stable reference for ALI YASSEN (M.D.).
Is ALI YASSEN (M.D.)'s NPI currently valid?
The extract we use shows ALI YASSEN (M.D.) as active.
Does ALI YASSEN (M.D.) list a primary specialty?
If you are matching referrals, note Interventional Cardiology Physician for ALI YASSEN (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for ALI YASSEN (M.D.)?
We surface Santa Rosa, California for ALI YASSEN (M.D.) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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