Individual provider Active NPI

Thomas M Yang

  • Physician Assistant
  • Tucson, AZ
National Provider Identifier
1376066563
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
6850 Issued in AZ
Practice address
1501 N Campbell Ave
Tucson, AZ 85724-0001
Phone
(520) 694-0111
NPI assigned
Jul 19, 2017
Last updated
Jan 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 6850 AZ Primary
Surgical Physician Assistant 363AS0400X

Addresses

Primary practice location

1501 N Campbell Ave
Tucson, AZ 85724-0001

Mailing address

3295 W Calle de Manzanillo
Tucson, AZ 85742-8214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171005001115 AZ Practitioner - Physician Assistant 0143595819 Reassigns benefits to 15 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1400 N Wilmot Rd
Tucson, AZ 85712-4498
Phone (520) 222-8268

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nextcare Arizona I JV LLC Current Accepting new patients
Emergency Professional Services PC Physician Assistant CurrentSince Jul 12, 2022 Accepting new patients
Banner-University Medical Group CurrentSince Oct 1, 2017 Accepting new patients
Dispatchhealth-Arizona CurrentSince Mar 17, 2021 Accepting new patients
Emergency Professional Services PC Physician Assistant Past Accepting new patients

Locations

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

2080 W Southern Ave
Bldg A1
Apache Junction, AZ 85120
Phone (480) 985-0172

1683 E Florence Blvd
Ste 7
Casa Grande, AZ 85122
Phone (520) 876-0800

450 S Willard St
Ste 120
Cottonwood, AZ 86326
Phone (928) 634-2574

1000 N Humphreys St
Ste 104
Flagstaff, AZ 86001
Phone (928) 779-3844

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

4602 E University Dr
Ste 150
Phoenix, AZ 85034
Phone (480) 493-3444

8101 N 19th Ave
Ste A
Phoenix, AZ 85021
Phone (602) 845-4505

1705 W University Dr
Ste 104
Tempe, AZ 85281
Phone (480) 493-3444

914 N Scottsdale Rd
Ste 104
Tempe, AZ 85288
Phone (480) 776-1620

1501 N Campbell Ave
Tucson, AZ 85724
Phone (520) 626-7747

1625 N Campbell Ave
Tucson, AZ 85719

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

2802 E District St
Tucson, AZ 85714
Phone (520) 622-6000

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

3838 N Campbell Ave
Bldg 2
Tucson, AZ 85719

40 N Swan Rd
Ste 55
Tucson, AZ 85711
Phone (520) 442-2269

501 N Park Ave
#110
Tucson, AZ 85719
Phone (520) 284-9200

5240 E Knight Dr
Ste 100
Tucson, AZ 85712
Phone (520) 209-1919

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

535 N Wilmot Rd
Ste 101
Tucson, AZ 85711
Phone (520) 694-9988

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

9525 E Old Spanish Trl
Ste 101
Tucson, AZ 85748
Phone (520) 731-3666

1394 W 16th St
Yuma, AZ 85364
Phone (928) 539-0055

Interoperability endpoints

  • Direct secure messaging: thomas.yang.1@29118.direct.athenahealth.com

Organizations & group practices 19

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 19

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1376066563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3295 W CALLE DE MANZANILLO",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857428214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N CAMPBELL AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857240001",
            "telephone_number": "520-694-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "THOMAS",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-19",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "6850",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.