Crisostomo Ayson Yalung, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

66802 Issued in CA

Practice address

100 Prison Rd
Represa, CA 95671-3000

Phone

(916) 985-8610

NPI assigned

Sep 8, 2009

Last updated

Feb 27, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Corrections and Rehabilitation-Headquarters

  dba California State Prison-Sacramento

  • Pharmacy
  • Represa, CA
  • NPI 1154953529
  NPD (past)
• Turning Point Community Programs

  dba Pathways/MLK

  • Case Management Agency
  • Sacramento, CA
  • NPI 1306154059
  NPD (past)

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

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1497088579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PRISON RD",
            "city": "REPRESA",
            "state": "CA",
            "postal_code": "956713000",
            "telephone_number": "916-985-8610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PRISON RD",
            "city": "REPRESA",
            "state": "CA",
            "postal_code": "956713000",
            "telephone_number": "916-985-8610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 N Market Blvd",
            "address_2": "Suite 350",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958341200",
            "country_code": "US",
            "telephone_number": "916-283-8280 x3059",
            "fax_number": "916-283-8259",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2150 Stockton Blvd",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958171337",
            "country_code": "US",
            "telephone_number": "916-875-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YALUNG",
        "first_name": "CRISOSTOMO",
        "middle_name": "AYSON",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-08",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "66802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Joseph Whelan Jr., PH.D.
• Regina White
• Halie Williams, PSYD
• Thomas John Williams, LCSW
• Jennifer Lynn Xepoleas, ASW
• Calvin Yee, DDS
• Jirina Zahradnickova I, PSY.D

• Clinical Social Worker in Represa, CA
• Providers in Represa, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; 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.