Robert Yang, CCN

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

License

6041 Issued in CA

Practice address

511 Encinitas Blvd Ste 119
Encinitas, CA 92024-3781

Phone

(760) 815-2618

NPI assigned

Jan 5, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1704412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1235909615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1486 BOTTLE TREE LN",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241500",
            "telephone_number": "760-815-2618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 ENCINITAS BLVD STE 119",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920243781",
            "telephone_number": "760-815-2618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "CCN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-05",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "CA",
            "license": "6041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Wylie, CMT, CLT
• Xsportsmed LLC
• Yang Xue, M.D
• Arthur Yan, DO
• Sara Diane Yanez, BCBA
• Yaling Yang, MA BCBA
• Mario Santos Yco, M.D.
• Stephanie Tina Yee, BSN
• David Yoder, D.C.
• Michael H Yokoyama, D.D.S.

• Nutrition Education Nutritionist in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Nutrition Education Nutritionist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.