Individual provider Active NPI

Wen Yang, NP

  • Family Nurse Practitioner
  • Fremont, CA
National Provider Identifier
1194485557
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95019370 Issued in CA
Practice address
46690 Mohave Dr
Fremont, CA 94539-7001
Phone
(510) 248-1065
Fax
(510) 248-8551
NPI assigned
Dec 28, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95019370 CA Primary

Addresses

Primary practice location

46690 Mohave Dr
Fremont, CA 94539-7001

Mailing address

46690 Mohave Dr
Fremont, CA 94539-7001
Phone (510) 248-1065

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230104002006 CA Practitioner - Nurse Practitioner 0648640839 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Township Medical Foundation CurrentSince Nov 28, 2022 Accepting new patients
Washington Township Medical Foundation CurrentSince Nov 28, 2022 Accepting new patients

Locations

2500 Mowry Ave
Ste 255
Fremont, CA 94538

46690 Mohave Dr
Fremont, CA 94539
Phone (510) 248-1065

39500 Fremont Blvd
Ste 100
Fremont, CA 94538
Phone (510) 248-1800

Interoperability endpoints

  • Direct secure messaging: wyang143778@direct.whhs.com

Organizations & group practices 2

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": "1640649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1194485557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46690 MOHAVE DR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945397001",
            "telephone_number": "510-248-1065",
            "fax_number": "510-248-8551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46690 MOHAVE DR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945397001",
            "telephone_number": "510-248-1065",
            "fax_number": "510-248-8551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "WEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-28",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95019370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.