OrganizationActive
Yassa Pac LLC
NPI 1962016360 · Clinic/Center · Hazel Park, MI
Provider details
- NPI number
- 1962016360
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Marcos Yassa, Pa-C(248) 629-7497
Specialties & taxonomies
Ambulatory Health Care Facilities
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
624 E 9 Mile Rd
Hazel Park, MI 48030-1842
Phone: (248) 629-7497
Street-level locationGet directions
Mailing address
Po Box 366
Hazel Park, MI 48030-0366
Registry dates
- Enumerated
- 2020-09-02
- Last updated
- 2020-12-16
- Certified
- 2020-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.