Active NPI
Alice Wan-Ching Yang, DDS
- General Practice Dentistry
- La Habra, CA
National Provider Identifier
1447585575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 50696
- Practice address
- 501 S Idaho St Ste 190
La Habra, CA 90631-6047 - Phone
- (562) 690-4001
- NPI assigned
- Oct 7, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 50696 | CA | Primary |
Addresses
Primary practice location
501 S Idaho St Ste 190
La Habra, CA 90631-6047
Mailing address
1 Bridgeport Rd
Newport Coast, CA 92657-1014
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 |
|---|---|---|---|
| 50696 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254873600000",
"number": "1447585575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 BRIDGEPORT RD",
"city": "NEWPORT COAST",
"state": "CA",
"postal_code": "926571014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 S IDAHO ST STE 190",
"city": "LA HABRA",
"state": "CA",
"postal_code": "906316047",
"telephone_number": "562-690-4001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANG",
"first_name": "ALICE",
"middle_name": "WAN-CHING",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-07",
"last_updated": "2009-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "50696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Habra, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.