Individual provider Active NPI

Alan Yang

  • Acupuncturist
  • Thousand Oaks, CA
National Provider Identifier
1104034263
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC10978 Issued in CA
Practice address
501 Marin St Ste 109
Thousand Oaks, CA 91360
Phone
(626) 675-6299
NPI assigned
May 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC10978 CA Primary

Addresses

Primary practice location

501 Marin St Ste 109
Thousand Oaks, CA 91360

Mailing address

608 E Valley Blvd # D119
San Gabriel, CA 91776-3594
Phone (626) 675-6299

Other practice location 1

123 Astronaut E S Onizuka St Ste 313
Los Angeles, CA 90012-3846
Phone (213) 687-8999

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

LicenseStateTypeSpecialty
AC10978CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Relax Acupuncture Clinic Acupuncturist Past Accepting new patients
Relax Acupuncture Clinic Acupuncturist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1179619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527033600000",
    "number": "1104034263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 E VALLEY BLVD # D119",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763594",
            "telephone_number": "626-675-6299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MARIN ST STE 109",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "91360",
            "telephone_number": "626-675-6299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Astronaut E S Onizuka St Ste 313",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900123846",
            "country_code": "US",
            "telephone_number": "213-687-8999",
            "fax_number": "213-687-3999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANG",
        "first_name": "ALAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-20",
        "last_updated": "2018-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC10978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; 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.