Individual provider Active NPI

Hsiao-Yi Yang, OD

  • Optometrist
  • Brea, CA
National Provider Identifier
1356980841
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34477TLG Issued in CA
Practice address
1065 Brea Mall SPC 2111a
Brea, CA 92821-5718
Phone
(714) 674-5040
NPI assigned
Dec 31, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WP0200X 34477TLG CA
Optometrist 152W00000X 34477TLG CA Primary

Addresses

Primary practice location

1065 Brea Mall SPC 2111a
Brea, CA 92821-5718

Mailing address

27 Wagon Wheel St
Phillips Ranch, CA 91766-7601
Phone (909) 767-3379

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

LicenseStateTypeSpecialty
34477TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hsiao-Yi Yang, O.D.,Inc. Optometrist CurrentSince Feb 23, 2025 Accepting new patients
Luxottica of America Inc PastSince Feb 23, 2025 Accepting new patients

Locations

1065 Brea Mall
Spc 2111A
Brea, CA 92821
Phone (714) 674-5040

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.

NPI Registry JSON

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

{
    "created_epoch": "1577750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1356980841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 WAGON WHEEL ST",
            "city": "PHILLIPS RANCH",
            "state": "CA",
            "postal_code": "917667601",
            "telephone_number": "909-767-3379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 BREA MALL SPC 2111A",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928215718",
            "telephone_number": "714-674-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "HSIAO-YI",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-31",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": "CA",
            "license": "34477TLG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34477TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brea, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; 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.