Individual provider Active NPI

Yueping Yang

  • In Home Supportive Care Agency
  • Clovis, CA
National Provider Identifier
1154954527
Registry record updated Sep 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
107208922 Issued in CA
Practice address
3232 Everglade Ave
Clovis, CA 93619-9586
Phone
(559) 800-8095
Fax
(559) 800-8018
NPI assigned
Feb 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 107208922 CA Primary

Addresses

Primary practice location

3232 Everglade Ave
Clovis, CA 93619-9586

Mailing address

3130 Serena Ave
Clovis, CA 93619-9567

Other practice location 1

3093 Everglade Ave
Clovis, CA 93619-9585
Phone (559) 800-8199

Other names 1

  • Aimee Yang Other name

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
107208922CAMDIn Home Supportive Care Agency

NPI Registry JSON

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

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696032000000",
    "number": "1154954527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 SERENA AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936199567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3232 EVERGLADE AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936199586",
            "telephone_number": "559-800-8095",
            "fax_number": "559-800-8018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3093 Everglade Ave",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936199585",
            "country_code": "US",
            "telephone_number": "559-800-8199",
            "fax_number": "559-800-8038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANG",
        "first_name": "YUEPING",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-13",
        "last_updated": "2023-09-30",
        "certification_date": "2023-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CA",
            "license": "107208922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AIMEE",
            "last_name": "YANG",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Clovis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2023; 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.