Organization Active NPI

Peter Yang Ma Medical Inc

  • Primary Care Clinic/Center
  • Arcadia, CA
National Provider Identifier
1184871345
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A53050 Issued in CA
Legal business name
PETER YANG MA MEDICAL INC
Practice address
624 W Duarte Rd Ste 208
Arcadia, CA 91007-7675
Phone
(626) 294-9978
Fax
(626) 294-9526
NPI assigned
Aug 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Authorized official

Name
Dr. Yang Ma, M.D.
Title
President
Phone
(626) 294-9978

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X A53050 CA Primary

Addresses

Primary practice location

624 W Duarte Rd Ste 208
Arcadia, CA 91007-7675

Mailing address

612 W Duarte Rd Suite 505
Arcadia, CA 91007
Phone (626) 294-9978

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081204000452 CA Part B Supplier - Clinic/Group Practice 9739240193 Receives reassigned benefits from 2 practitioners
Practice locations: Arcadia, CA

National Provider Directory

National Provider Directory

Locations

612 W Duarte Rd
Ste 505
Arcadia, CA 91007
Phone (626) 294-9978

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1184871345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 W DUARTE RD SUITE 505",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "91007",
            "telephone_number": "626-294-9978",
            "fax_number": "626-294-9526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 W DUARTE RD STE 208",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077675",
            "telephone_number": "626-294-9978",
            "fax_number": "626-294-9526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER YANG MA MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "MA",
        "authorized_official_first_name": "YANG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-294-9978",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A53050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.