Active NPI
Wendy Yang, OTR/L
- Occupational Therapist
- Fullerton, CA
National Provider Identifier
1245598580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 4415
- Practice address
- 2222 N Harbor Blvd
Fullerton, CA 92835-2605 - Phone
- (714) 992-5701
- NPI assigned
- Apr 24, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT 4415 | CA | Primary |
Addresses
Primary practice location
2222 N Harbor Blvd
Fullerton, CA 92835-2605
Mailing address
2759 Somerset PL
Rowland Heights, CA 91748-4878
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT 4415 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scosi Orthopedics Inc | Current | Accepting new patients | |
| Aeon Physical Therapy Corp | Current | Accepting new patients |
Locations
18575 Gale Ave
Ste 278
City of Industry, CA 91748
Phone (626) 559-5181
175 W La Verne Ave
Ste A
Pomona, CA 91767
Phone (909) 593-5515
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.
-
- Physical Therapy Clinic/Center
- Pomona, CA
- NPI 1073142741
-
- Orthopaedic Surgery Physician
- City of Industry, CA
- NPI 1104182104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335225600000",
"number": "1245598580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2759 SOMERSET PL",
"city": "ROWLAND HEIGHTS",
"state": "CA",
"postal_code": "917484878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 N HARBOR BLVD",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928352605",
"telephone_number": "714-992-5701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANG",
"first_name": "WENDY",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-24",
"last_updated": "2012-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT 4415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; 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.