Shanhat Yacob, - Medicare Physical Therapist In Private Practice in Marina Del Rey, CA

Shanhat Yacob, is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Marina Del Rey, California. graduated from medical school in 2023 and has 3 years of diverse experience with area of expertise as Physical Therapist In Private Practice. is a member of the group practice Blake Physical Therapy Pc and current practice location is 4820 Lincoln Blvd, Marina Del Rey, California. You can reach out to office (for appointments etc.) via phone at (310) 392-7889.

Shanhat Yacob is licensed to practice in California (license number 307932) and also participates in the medicare program. accepts medicare assignments (which means accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and NPI Number is 1477404317.

Contact Information

Shanhat Yacob,
4820 Lincoln Blvd,
Marina Del Rey, CA 90292-6917
(310) 392-7889
Not Available

Map and Direction




Physician's Profile

Full NameShanhat Yacob
Gender
SpecialityPhysical Therapist In Private Practice
Experience3 Years
Location4820 Lincoln Blvd, Marina Del Rey, California
Accepts Medicare AssignmentsYes. accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shanhat Yacob graduated from medical school in 2023
  NPI Data:
  • NPI Number: 1477404317
  • Provider Enumeration Date: 02/06/2026
  • Last Update Date: 02/06/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 4880177328
  • Enrollment ID: I20260312001026

Medical Identifiers

Medical identifiers for Shanhat Yacob such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477404317NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208100000XPhysical Medicine & Rehabilitation 307932 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Blake Physical Therapy Pc872997400110

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shanhat Yacob is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shanhat Yacob,
4820 Lincoln Blvd,
Marina Del Rey, CA 90292-6917

Ph: (310) 392-7889
Shanhat Yacob,
4820 Lincoln Blvd,
Marina Del Rey, CA 90292-6917

Ph: (310) 392-7889

Reviews and Comments


Physical Medicine & Rehabilitation Doctors in Marina Del Rey, CA

Natasha Chand Mehta, M.D.
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 4551 Glencoe Ave Ste 145, Marina Del Rey, CA 90292
Phone: 310-997-2766    
Karin Sasaki,
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 4820 Lincoln Blvd, Marina Del Rey, CA 90292
Phone: 310-392-7889    
Leia Rispoli, M.D.
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 4551 Glencoe Ave Ste 145, Marina Del Rey, CA 90292
Phone: 310-405-0595    Fax: 310-997-2766
Sarah Patricia Tam,
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 4820 Lincoln Blvd, Marina Del Rey, CA 90292
Phone: 310-392-7889    
Katrina M Vlachos, MD
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 13160 Mindanao Way #300, Marina Del Rey, CA 90292
Phone: 310-574-0384    Fax: 310-574-0382

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.