Organization Active NPI

Alexander Q Yang, M.D. Inc

  • Anesthesiology Physician
  • Modesto, CA
National Provider Identifier
1407001449
Registry record updated Nov 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G84318 Issued in CA
Legal business name
ALEXANDER Q YANG, M.D. INC
Practice address
1421 Oakdale Road
Modesto, CA 95355-4241
Phone
(209) 572-2700
Fax
(209) 572-0151
NPI assigned
Nov 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2008

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

Authorized official

Name
Alexander Quang Yang, MD
Title
President
Phone
(209) 572-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X G84318 CA Primary

Addresses

Primary practice location

1421 Oakdale Road
Modesto, CA 95355-4241

Mailing address

817 Coffee Road
C3
Modesto, CA 95355
Phone (209) 529-9603

Other identifiers 1

IdentifierTypeStateIssuer
00G843181MedicaidCA

National Provider Directory

National Provider Directory

Locations

817 Coffee Rd
Ste C3
Modesto, CA 95355
Phone (209) 529-9603

NPI Registry JSON

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226966400000",
    "number": "1407001449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 COFFEE ROAD",
            "address_2": "C3",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "95355",
            "telephone_number": "209-529-9603",
            "fax_number": "209-529-6610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 OAKDALE ROAD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953554241",
            "telephone_number": "209-572-2700",
            "fax_number": "209-572-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER Q YANG, M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-18",
        "last_updated": "2008-11-18",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "QUANG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-572-2700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G84318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G843181",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; 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.