Provider Demographics
NPI:1962415794
Name:BRAR, YASH G (MD)
Entity type:Individual
Prefix:
First Name:YASH
Middle Name:G
Last Name:BRAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:481 PLUMAS BLVD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991-5075
Mailing Address - Country:US
Mailing Address - Phone:530-674-2434
Mailing Address - Fax:530-674-2704
Practice Address - Street 1:481 PLUMAS BLVD
Practice Address - Street 2:SUITE 104
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-5075
Practice Address - Country:US
Practice Address - Phone:530-674-2434
Practice Address - Fax:530-674-2704
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-14
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA51440207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A514400OtherBLUE SHIELD PIN #
CA1962415794Medicaid
CA00A514400OtherBLUE SHIELD PIN #
CA00A514402Medicare PIN
CA1962415794Medicaid