Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrew Yusran

Individual provider Internal Medicine Physician · NPI 1720616550

Andrew Yusran is an Internal Medicine in Antioch, California. Qualified in 2020, 6 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2020

Practice location Address checks out

4501 Sand Creek Rd
Antioch, CA 94531-8687
Phone: (925) 813-6500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 20A21232 (CA)

Record details

NPI number1720616550
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 28, 2020
Last updated in NPPESSeptember 7, 2023
Certification dateSeptember 7, 2023
Mailing address5001 Hardy St, Hattiesburg, MS 39402-1308

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Antioch