Active NPI
Kevin Yuan, O.D.
- Optometrist
- Long Beach, CA
National Provider Identifier
1427459486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 15410
- Practice address
- 5901 E 7TH St
Optometry Department
Long Beach, CA 90822-5201 - Phone
- (844) 808-2020
- NPI assigned
- Sep 9, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2379 | NC | |
| Optometrist | 152W00000X | 15410 | CA | Primary |
Addresses
Primary practice location
5901 E 7TH St
Optometry Department
Long Beach, CA 90822-5201
Mailing address
5901 E 7TH St
Optometry Department
Long Beach, CA 90822-5201
Phone (844) 808-2020
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 |
|---|---|---|---|
| 15410 | CA | MD | Speech-Language Pathologist |
| 2379 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478217600000",
"number": "1427459486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5901 E 7TH ST",
"address_2": "OPTOMETRY DEPARTMENT",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908225201",
"telephone_number": "844-808-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5901 E 7TH ST",
"address_2": "OPTOMETRY DEPARTMENT",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908225201",
"telephone_number": "844-808-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YUAN",
"first_name": "KEVIN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-09",
"last_updated": "2016-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "2379",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "15410",
"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 Nov 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.