Provider Demographics
NPI:1215715941
Name:KARATAS, YUSUF
Entity type:Individual
Prefix:
First Name:YUSUF
Middle Name:
Last Name:KARATAS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 VIA ALTA VIS
Mailing Address - Street 2:
Mailing Address - City:BONSALL
Mailing Address - State:CA
Mailing Address - Zip Code:92003-4020
Mailing Address - Country:US
Mailing Address - Phone:203-508-3683
Mailing Address - Fax:760-295-4151
Practice Address - Street 1:21 VIA ALTA VIS
Practice Address - Street 2:
Practice Address - City:BONSALL
Practice Address - State:CA
Practice Address - Zip Code:92003-4020
Practice Address - Country:US
Practice Address - Phone:203-508-3683
Practice Address - Fax:760-295-4151
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-14
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA6038424740311500000X, 310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)