Organization Active NPI

Dr. Jun Yang Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Alhambra, CA
National Provider Identifier
1073996781
Registry record updated Nov 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
DR. JUN YANG CORPORATION
Practice address
25 S Raymond Ave Ste 201
Alhambra, CA 91801-7146
Phone
(626) 741-5350
Fax
(626) 741-5344
NPI assigned
Jun 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2018

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

Authorized official

Name
Dr. Jun Yang, M.D.NPI 1043440084
Title
Psychiatrist
Phone
(626) 757-6625

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X A108968 CA
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

25 S Raymond Ave Ste 201
Alhambra, CA 91801-7146

Mailing address

2280 Pointer Dr
Walnut, CA 91789-3562
Phone (626) 757-6625

Other practice location 1

941 S Atlantic Blvd
Ste. 221
Monterey Park, CA 91754-4722
Phone (626) 284-4202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160705000860 CA Part B Supplier - Clinic/Group Practice 3678865045 Receives reassigned benefits from 1 practitioner
Practice locations: Alhambra, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543449600000",
    "number": "1073996781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2280 POINTER DR",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917893562",
            "telephone_number": "626-757-6625",
            "fax_number": "626-284-3926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 S RAYMOND AVE STE 201",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918017146",
            "telephone_number": "626-741-5350",
            "fax_number": "626-741-5344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "941 S Atlantic Blvd",
            "address_2": "Ste. 221",
            "address_purpose": "LOCATION",
            "city": "Monterey Park",
            "state": "CA",
            "postal_code": "917544722",
            "country_code": "US",
            "telephone_number": "626-284-4202",
            "fax_number": "626-284-3926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR. JUN YANG CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-30",
        "last_updated": "2018-11-29",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "JUN",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "626-757-6625",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "A108968",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; 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.