Individual provider Active NPI

Xengxue Yang, PHARM D

  • Pharmacist
  • Visalia, CA
National Provider Identifier
1154910677
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH57671 Issued in CA
Practice address
317 W Noble Ave
Visalia, CA 93277-2668
Phone
(559) 734-6747
Fax
(559) 734-7932
NPI assigned
Jan 11, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH57671 CA Primary

Addresses

Primary practice location

317 W Noble Ave
Visalia, CA 93277-2668

Mailing address

2608 E Ashlan Ave
Fresno, CA 93726-3207
Phone (559) 492-2162

Other practice location 1

4009 N Marks Ave
Fresno, CA 93722-4555
Phone (559) 226-1201

Other practice location 2

2608 E Ashlan Ave
Fresno, CA 93726-3207
Phone (559) 492-2162

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RPH57671CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
CTX Enterprise Past Accepting new patients

Organizations & group practices 1

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": "1610323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1154910677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2608 E ASHLAN AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937263207",
            "telephone_number": "559-492-2162",
            "fax_number": "559-492-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 W NOBLE AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932772668",
            "telephone_number": "559-734-6747",
            "fax_number": "559-734-7932"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4009 N Marks Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937224555",
            "country_code": "US",
            "telephone_number": "559-226-1201",
            "fax_number": "559-226-2623",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2608 E Ashlan Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937263207",
            "country_code": "US",
            "telephone_number": "559-492-2162",
            "fax_number": "559-429-2166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANG",
        "first_name": "XENGXUE",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH57671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.