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Yassa Pac LLC

Clinic/Center in Hazel Park, MI · enumerated 2020 · authorized official Marcos Yassa, PA-C.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1962016360

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Registry record

Entity type Organization (Type 2)
Legal business name Yassa Pac LLC
Practice address 624 E 9 Mile Rd, Hazel Park, MI, 48030
Enumeration date Sep 2, 2020
Last updated in NPPES Dec 16, 2020

Taxonomy & classification

261Q00000X Clinic/Center Ambulatory Health Care Facilities Primary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Marcos Yassa
Title PA-C

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Yassa Pac LLC?
The NPI for Yassa Pac LLC is 1962016360, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Yassa Pac LLC?
NPPES lists Marcos Yassa (PA-C) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-12-16.