Individual provider Active NPI

Xue Yang, FNP-C

  • Family Nurse Practitioner
  • Merced, CA
National Provider Identifier
1487190153
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95004818 Issued in CA
Practice address
127 W El Portal Dr
Merced, CA 95348-2853
Phone
(209) 723-3704
Fax
(209) 723-0272
NPI assigned
Jan 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95004818 CA Primary

Addresses

Primary practice location

127 W El Portal Dr
Merced, CA 95348-2853

Mailing address

PO Box 3768
Merced, CA 95344-3768
Phone (209) 725-7149

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address xue.yang.1@3012.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20170407001479 CA Practitioner - Nurse Practitioner 4981980810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Permanente Medical Group IncGroup PAC ID 8921910225, 10,928 clinicians

Practice addresses (Care Compare)

4785 N 1St St
Fresno, CA 93726-0513
Phone (559) 448-4555

Merit-based Incentive Payment System (MIPS)

Final score
91.69 of 100Reported as group
Quality
91.59
Promoting interoperability
94
Improvement activities
40
Cost
76.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95004818CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
La Laser Center, PC, a Professional Medical Corporation CurrentSince Apr 17, 2023 Accepting new patients
Permanente Medical Group, Inc CurrentSince Oct 7, 2024 Accepting new patients
Permanente Medical Group Inc CurrentSince Oct 7, 2024 Accepting new patients
Permanente Medical Group Inc Current Accepting new patients
La Laser Center PC, a Professional Medical Corporation PastSince Apr 17, 2023 Accepting new patients

Locations (25 of 29)

310 S Halcyon Rd
Ste 106
Arroyo Grande, CA 93420
Phone (805) 474-5807

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

186 N Main St
Bishop, CA 93514
Phone (760) 873-8718

621 W Line St
Ste 105
Bishop, CA 93514
Phone (760) 873-8781

4785 N 1st St
Fresno, CA 93726
Phone (559) 448-4555

6181 N Thesta St
Ste 104
Fresno, CA 93710
Phone (559) 418-5000

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

3150 G St
Ste D
Merced, CA 95340
Phone (209) 800-6000

74320 Highway 111
Ste 100
Palm Desert, CA 92260
Phone (760) 423-5610

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

631 W Avenue Q
Ste B
Quartz Hill, CA 93551
Phone (661) 425-0295

1210 Nevada St
Redlands, CA 92374
Phone (909) 809-5250

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

161 Avenida Vaquero
San Clemente, CA 92672
Phone (949) 489-8783

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

652 W 11th St
Ste 129
Tracy, CA 95376
Phone (209) 575-2700

981 E Tuolumne Rd
Ste 104
Turlock, CA 95382
Phone (209) 454-0494

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

Organizations & group practices 5

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": "1484697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1487190153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3768",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953443768",
            "telephone_number": "209-725-7149",
            "fax_number": "209-726-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 W EL PORTAL DR",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953482853",
            "telephone_number": "209-723-3704",
            "fax_number": "209-723-0272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "XUE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-18",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95004818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "xue.yang.1@3012.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "127 W El Portal Dr",
            "city": "Merced",
            "state": "CA",
            "country_code": "US",
            "postal_code": "953482853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

Verify at the official NPI Registry.