Active NPI
Anthony James Yearta
- Addiction (Substance Use Disorder) Counselor
- Long Beach, CA
National Provider Identifier
1295613966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- RT1434100326
- Practice address
- 5178 Atlantic Ave
Long Beach, CA 90805-6510 - Phone
- (562) 218-1868
- NPI assigned
- Aug 21, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | RT1434100326 | CA | Primary |
Addresses
Primary practice location
5178 Atlantic Ave
Long Beach, CA 90805-6510
Mailing address
11750 Euclid St Apt 102
Garden Grove, CA 92840-2241
Phone (714) 819-1520
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MPSS-MQLRXZ | CA | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781654400000",
"number": "1295613966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11750 EUCLID ST APT 102",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928402241",
"telephone_number": "714-819-1520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5178 ATLANTIC AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908056510",
"telephone_number": "562-218-1868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEARTA",
"first_name": "ANTHONY",
"middle_name": "JAMES",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-08-21",
"last_updated": "2026-06-17",
"certification_date": "2026-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "RT1434100326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.