Individual provider Active NPI

Tina Yang, MD

  • Family Medicine Physician
  • San Marino, CA
National Provider Identifier
1023082740
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A63620 Issued in CA
Practice address
375 Huntington Dr
Suite G
San Marino, CA 91108-2357
Phone
(626) 441-4231
Fax
(626) 441-0282
NPI assigned
Feb 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A63620 CA Primary

Addresses

Primary practice location

375 Huntington Dr
Suite G
San Marino, CA 91108-2357

Mailing address

145 Vista Ave
Suite 104
Pasadena, CA 91107-3607
Phone (626) 397-8335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080314000427 CA Practitioner - Family Practice 3375628340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Southern California Keck School of Medicine, 1996
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Tina Yang MD Medical Clinic IncGroup PAC ID 0547345514, 2 clinicians

Practice addresses (Care Compare)

128 N Oak Knoll Ave
Unit 100
Pasadena, CA 91101-5664
Phone (626) 795-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions14
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
63620CAMDPharmacist
A63620CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tina Yang MD Medical Clinic, Inc Family Medicine CurrentSince Dec 1, 2007 Accepting new patients
Prisma Health-Midlands Past Accepting new patients
Pasadena Hospital Association, LTD. PastSince Dec 1, 2007 Accepting new patients

Locations

128 N Oak Knoll Ave
Unit 100
Pasadena, CA 91101
Phone (626) 795-3000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023082740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 VISTA AVE",
            "address_2": "SUITE 104",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073607",
            "telephone_number": "626-397-8335",
            "fax_number": "626-397-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 HUNTINGTON DR",
            "address_2": "SUITE G",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911082357",
            "telephone_number": "626-441-4231",
            "fax_number": "626-441-0282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "TINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A63620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marino, CA

Sources for this page

Verify at the official NPI Registry.