Yangrob'S Medical Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A64133 Issued in CA

Legal business name

YANGROB'S MEDICAL INC

Practice address

2619 S Waterman Ave
Suite E
San Bernardino, CA 92408-3737

Phone

(909) 433-0678

Fax

(909) 433-0680

NPI assigned

Nov 27, 2006

Organization subpart

No

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

Authorized official

Name

Robert Yang, M.D.NPI 1619043163

Title

President

Phone

(909) 433-0678

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Yang, M.D.

  • Internal Medicine Physician
  • San Bernardino, CA
  • NPI 1619043163
  NPD (past) Authorized official

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053487504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2619 S WATERMAN AVE",
            "address_2": "SUITE E",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083737",
            "telephone_number": "909-433-0678",
            "fax_number": "909-433-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2619 S WATERMAN AVE",
            "address_2": "SUITE E",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083737",
            "telephone_number": "909-433-0678",
            "fax_number": "909-433-0680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YANGROB'S MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-433-0678",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A64133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A641330",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Wageeh Mahrous Yacoub
• Nilda Yanez
• Grace Yang
• Robert Yang, M.D.
• Yang Yang, PHARM.D
• Kevin Yaori
• Heather Marie Yarber
• Raynisha Yarbough
• Ethan Thomas Yarbrough
• Kyle A Yaross, ATC

• Internal Medicine Physician in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.