Active NPI
Peter Yang Ma Medical Inc
- Primary Care Clinic/Center
- Arcadia, CA
National Provider Identifier
1184871345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- A53050
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Internal Medicine Physician
- Arcadia, CA
- NPI 1144228909
-
- Internal Medicine Physician
- Arcadia, CA
- NPI 1902831019
-
- Family Medicine Physician
- Arcadia, CA
- NPI 1053427427
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.