Active NPI
Michael Chih-Kuo Yang, D.C.
- Chiropractor
- San Gabriel, CA
National Provider Identifier
1043232358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC30098
- Practice address
- 529 E Valley Blvd Ste 288a
San Gabriel, CA 91776-3694 - Phone
- (626) 572-9201
- Fax
- (626) 572-9210
- NPI assigned
- Jul 24, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC30098 | CA | Primary |
Addresses
Primary practice location
529 E Valley Blvd Ste 288a
San Gabriel, CA 91776-3694
Mailing address
1445 Bellwood Rd
San Marino, CA 91108-2714
Phone (626) 292-1495
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC30098 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Formosa Wellness Center Inc | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043232358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1445 BELLWOOD RD",
"city": "SAN MARINO",
"state": "CA",
"postal_code": "911082714",
"telephone_number": "626-292-1495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "529 E VALLEY BLVD STE 288A",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917763694",
"telephone_number": "626-572-9201",
"fax_number": "626-572-9210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANG",
"first_name": "MICHAEL",
"middle_name": "CHIH-KUO",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC30098",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Gabriel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.