Jin Q Yang MD Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

153994 Issued in CA

Legal business name

JIN Q YANG MD INC.

Practice address

500 N Garfield Ave
110
Monterey Park, CA 91754-1242

Phone

(626) 288-0091

Fax

(626) 288-0092

NPI assigned

Aug 30, 2012

Organization subpart

No

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

Authorized official

Name

Jin Quan Yang, MDNPI 1952501330

Title

Ceo

Phone

(310) 926-6888

Specialties & licenses 1

Addresses

Other names 1

• N/A Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jin Quan Yang, M.D.

  • Family Medicine Physician
  • Monterey Park, CA
  • NPI 1952501330
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346284800000",
    "number": "1053660571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 16TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904055830",
            "telephone_number": "310-926-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N GARFIELD AVE",
            "address_2": "110",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541242",
            "telephone_number": "626-288-0091",
            "fax_number": "626-288-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIN Q YANG MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-30",
        "last_updated": "2012-08-30",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "JIN QUAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-926-6888",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "153994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Lily Woo Joe

• Primary Care Clinic/Center in Monterey Park, CA
• Providers in Monterey Park, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.