Active NPI
Larry Yip, PA-C
- Physician Assistant
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA57600
- Practice address
- 1520 San Pablo St Ste 6200
Los Angeles, CA 90033-5310 - Phone
- (323) 442-7920
- NPI assigned
- Sep 20, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 57600 | CA | |
| Medical Physician Assistant | 363AM0700X | 016964 | NY | |
| Physician Assistant | 363A00000X | PA57600 | CA | Primary |
Addresses
Primary practice location
1520 San Pablo St Ste 6200
Los Angeles, CA 90033-5310
Mailing address
PO Box 31309
Los Angeles, CA 90031-0309
Phone (626) 457-6601
Other practice location 1
170 William St
New York, NY 10038-2612
Phone (212) 312-5000
Other practice location 2
1855 1st Ave Ste 200B
San Diego, CA 92101-2685
Phone (619) 233-4044
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1450 San Pablo St
Los Angeles, CA 90033-4500
1500 San Pablo St
Los Angeles, CA 90033-5313
Phone (323) 442-8444
1516 San Pablo St
Los Angeles, CA 90033-5313
Phone (800) 872-2273
1520 San Pablo St
Los Angeles, CA 90033-5310
Phone (800) 872-2273
1520 San Pablo St 1St Floor N
Los Angeles, CA 90033-5310
Phone (800) 872-2273
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016964 | NY | MD | Occupational Therapist |
| PA57600 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usc Care Medical Group, Inc | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| Usc Care Medical Group, Inc | Current | Accepting new patients |
Locations
420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647
1808 Verdugo Blvd
Ste 209
Glendale, CA 91208
Phone (818) 949-4494
1520 San Pablo St
Ste 6200
Los Angeles, CA 90033
Phone (323) 442-7920
1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849
170 William St
New York, NY 10038
Phone (212) 238-0100
14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224
Interoperability endpoints
- larry.yip@217526021193732.direct.elationemr.com
Organizations & group practices 4
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.
-
- General Practice Physician
- Los Angeles, CA
- NPI 1902846306
-
- Durable Medical Equipment & Medical Supplies
- Pasadena, CA
- NPI 1427937390
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684368000000",
"number": "1356777494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31309",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900310309",
"telephone_number": "626-457-6601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 SAN PABLO ST STE 6200",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900335310",
"telephone_number": "323-442-7920"
}
],
"practiceLocations": [
{
"address_1": "170 William St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100382612",
"country_code": "US",
"telephone_number": "212-312-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1855 1st Ave Ste 200B",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921012685",
"country_code": "US",
"telephone_number": "619-233-4044",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YIP",
"first_name": "LARRY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-20",
"last_updated": "2023-05-18",
"certification_date": "2023-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "57600",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "016964",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA57600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.