Individual provider Active NPI

Marcos Y. Yang, M.D.

  • Family Medicine Physician
  • Palos Verdes Estates, CA
National Provider Identifier
1023087392
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A49035 Issued in CA
Practice address
310 Tejon PL
Palos Verdes Estates, CA 90274-1204
Phone
(310) 375-2403
Fax
(310) 375-9652
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 A49035 CA Primary

Addresses

Primary practice location

310 Tejon PL
Palos Verdes Estates, CA 90274-1204

Mailing address

310 Tejon PL
Palos Verdes Estates, CA 90274-1204
Phone (310) 375-2403

Other identifiers 1

IdentifierTypeStateIssuer
00A490350MedicaidCA

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
I20101228000907 CA Practitioner - Family Practice 3173601788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

310 Tejon PL
Palos Verdes Estates, CA 90274-1204
Phone (310) 375-2403

Hospital & facility affiliations

  • Torrance Memorial Medical Center Hospital, Torrance, CA, CCN 050351

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A49035CAMDFamily Medicine Physician

Practice roles (4 of 5)

OrganizationSpecialtyStatusNew patients
Marcos Yang MD Inc Family Medicine CurrentSince May 1, 2001 Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Providence Health System Southern California Past Accepting new patients
Torrance Memorial Medical Center Past Accepting new patients

Locations

310 Tejon Pl
Palos Verdes Estates, CA 90274
Phone (310) 375-2403

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1023087392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 TEJON PL",
            "city": "PALOS VERDES ESTATES",
            "state": "CA",
            "postal_code": "902741204",
            "telephone_number": "310-375-2403",
            "fax_number": "310-375-9652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 TEJON PL",
            "city": "PALOS VERDES ESTATES",
            "state": "CA",
            "postal_code": "902741204",
            "telephone_number": "310-375-2403",
            "fax_number": "310-375-9652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "MARCOS",
        "middle_name": "Y.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A49035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A490350",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Verdes Estates, CA

Sources for this page

Verify at the official NPI Registry.