Active NPI
Quanjian Yan, PA
- Physician Assistant
- Beaumont, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 839 N. Highland Springs Ave
Beaumont, CA 92223-5767 - Phone
- (951) 845-0313
- NPI assigned
- Oct 16, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 103052 | MT | |
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
839 N. Highland Springs Ave
Beaumont, CA 92223-5767
Mailing address
839 N. Highland Springs Ave
Beaumont, CA 92223-5767
Phone (951) 845-0313
Other practice location 1
1101 26th St S
Great Falls, MT 59405-5161
Phone (406) 731-8888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
839 Highland Springs Ave
Beaumont, CA 92223-5767
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56407 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaver Medical Group P C | Current | Accepting new patients | |
| Beaver Medical Group P C | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| Centers for Family Medicine GP | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| Cassidy Medical Group Inc. | Current | Accepting new patients | |
| North Medical PC | Past | Accepting new patients |
Locations
7000 Boulder Ave
Ste 103
Highland, CA 92346
Phone (515) 441-6271
2 W Fern Ave
Redlands, CA 92373
Phone (909) 335-4137
145 Thunder Dr
Vista, CA 92083
Phone (760) 630-5487
111 E 210th St
Bronx, NY 10467
Organizations & group practices 9
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.
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
- Family Medicine Physician
- Liverpool, NY
- NPI 1942501747
-
- Physical Therapist
- Redlands, CA
- NPI 1427090281
-
- Multi-Specialty Clinic/Center
- Vista, CA
- NPI 1215003470
-
dba Optumcare Medical Group
- Family Medicine Physician
- Los Alamitos, CA
- NPI 1467598243
-
dba Montefiore Community Pharmacy @ CHAM
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Family Medicine Physician
- New York, NY
- NPI 1760288278
-
- Family Medicine Physician
- Liverpool, NY
- NPI 1972563070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705881600000",
"number": "1144796335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "839 N. HIGHLAND SPRINGS AVE",
"city": "BEAUMONT",
"state": "CA",
"postal_code": "922235767",
"telephone_number": "951-845-0313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "839 N. HIGHLAND SPRINGS AVE",
"city": "BEAUMONT",
"state": "CA",
"postal_code": "922235767",
"telephone_number": "951-845-0313"
}
],
"practiceLocations": [
{
"address_1": "1101 26th St S",
"address_purpose": "LOCATION",
"city": "Great Falls",
"state": "MT",
"postal_code": "594055161",
"country_code": "US",
"telephone_number": "406-731-8888",
"fax_number": "406-731-8318",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YAN",
"first_name": "QUANJIAN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-16",
"last_updated": "2024-01-22",
"certification_date": "2024-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MT",
"license": "103052",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaumont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.