Active NPI
Rong Yang, M.D
- General Practice Physician
- Sun Valley, CA
National Provider Identifier
1497783773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A61906
- Practice address
- 2650 Jones Way Suite 24
Sun Valley, CA 93065 - Phone
- (805) 210-7107
- Fax
- (805) 582-0251
- NPI assigned
- Jun 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 Physician | 208D00000X | A61906 | CA | Primary |
Addresses
Primary practice location
2650 Jones Way Suite 24
Sun Valley, CA 93065
Mailing address
2650 Jones Way Ste 24
Simi Valley, CA 93065-1224
Phone (805) 210-7107
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A619060 | Medicaid | CA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- rong.yang@4005.securemail.prognocis.com
- rong.yang@3856.securemail.prognocis.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437609600000",
"number": "1497783773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2650 JONES WAY STE 24",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930651224",
"telephone_number": "805-210-7107",
"fax_number": "805-582-0251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2650 JONES WAY SUITE 24",
"city": "SUN VALLEY",
"state": "CA",
"postal_code": "93065",
"telephone_number": "805-210-7107",
"fax_number": "805-582-0251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANG",
"first_name": "RONG",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2015-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "A61906",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A619060",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sun Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.