Active NPI
Kim Shiu-Chin Yang M.D.,Inc.
- Neurology Physician
- San Gabriel, CA
National Provider Identifier
1487704268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- A40824
- Legal business name
- KIM SHIU-CHIN YANG M.D.,INC.
- Practice address
- 207 S Santa Anita Ave
Suite 320
San Gabriel, CA 91776-1146 - Phone
- (626) 458-0181
- Fax
- (626) 458-0183
- NPI assigned
- Jan 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kim Shiu-Chin Yang, M.D.
- Title
- President
- Phone
- (626) 458-0181
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | A40824 | CA | Primary |
Addresses
Primary practice location
207 S Santa Anita Ave
Suite 320
San Gabriel, CA 91776-1146
Mailing address
207 S Santa Anita Ave
Suite 320
San Gabriel, CA 91776-1146
Phone (626) 458-0181
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A408240 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
207 S Santa Anita St
Ste 320
San Gabriel, CA 91776
Phone (626) 458-0181
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- San Gabriel, CA
- NPI 1609854231
-
- Neurology Physician
- San Gabriel, CA
- NPI 1407243538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755561600000",
"number": "1487704268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 S SANTA ANITA AVE",
"address_2": "SUITE 320",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917761146",
"telephone_number": "626-458-0181",
"fax_number": "626-458-0183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 S SANTA ANITA AVE",
"address_2": "SUITE 320",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917761146",
"telephone_number": "626-458-0181",
"fax_number": "626-458-0183"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIM SHIU-CHIN YANG M.D.,INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-12",
"last_updated": "2025-08-19",
"certification_date": "2025-08-19",
"status": "A",
"authorized_official_last_name": "YANG",
"authorized_official_first_name": "KIM",
"authorized_official_middle_name": "SHIU-CHIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "626-458-0181",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "A40824",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A408240",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Gabriel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.