Individual provider Active NPI

Vincent Yang

  • General Practice Dentistry
  • Brea, CA
National Provider Identifier
1174221865
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DDS110123 Issued in CA
Practice address
210 W Birch St Ste 203
Brea, CA 92821-4504
Phone
(424) 345-0384
NPI assigned
Feb 21, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DDS110123 CA Primary

Addresses

Primary practice location

210 W Birch St Ste 203
Brea, CA 92821-4504

Mailing address

18895 Whitney PL
Rowland Heights, CA 91748-4874
Phone (424) 345-0384

Other practice location 1

1014 S Glendora Ave
West Covina, CA 91790-4920
Phone (626) 918-2886

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
DDS110123CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Vincent Yang DDS Inc CurrentSince Sep 28, 2025 Accepting new patients

Locations

210 W Birch St
Ste 203
Brea, CA 92821
Phone (424) 345-0384

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": "1676937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1174221865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18895 WHITNEY PL",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917484874",
            "telephone_number": "424-345-0384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W BIRCH ST STE 203",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928214504",
            "telephone_number": "424-345-0384"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1014 S Glendora Ave",
            "address_purpose": "LOCATION",
            "city": "West Covina",
            "state": "CA",
            "postal_code": "917904920",
            "country_code": "US",
            "telephone_number": "626-918-2886",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANG",
        "first_name": "VINCENT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-21",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS110123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brea, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.