NPIMap

Organization Active NPI

James Yan, MD PA

  • Medical Specialty Clinic/Center
  • Rockville, MD
National Provider Identifier
1285967091
Registry record updated Sep 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
D40353 Issued in MD
Legal business name
JAMES YAN, MD PA
Practice address
11119 Rockville Pike
#320
Rockville, MD 20852-3143
Phone
(301) 468-1997
Fax
(301) 468-1996
NPI assigned
Sep 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2009

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

Authorized official

Name
Dr. James Yan, M.D.NPI 1063424570
Title
Owner
Phone
(301) 468-1997

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X D40353 MD Primary

Addresses

Primary practice location

11119 Rockville Pike
#320
Rockville, MD 20852-3143

Mailing address

11119 Rockville Pike
#320
Rockville, MD 20852-3143
Phone (301) 468-1997

National Provider Directory

National Provider Directory

Locations

11119 Rockville Pike
Ste 320
Rockville, MD 20852
Phone (240) 669-6598

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252540800000",
    "number": "1285967091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11119 ROCKVILLE PIKE",
            "address_2": "#320",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523143",
            "telephone_number": "301-468-1997",
            "fax_number": "301-468-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11119 ROCKVILLE PIKE",
            "address_2": "#320",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523143",
            "telephone_number": "301-468-1997",
            "fax_number": "301-468-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES YAN, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-10",
        "last_updated": "2009-09-10",
        "status": "A",
        "authorized_official_last_name": "YAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-468-1997",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MD",
            "license": "D40353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; 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.