Individual provider Active NPI

Ryan Yang, DO

  • Family Medicine Physician
  • Wilmington, DE
National Provider Identifier
1518356609
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C0745 Issued in KY
Practice address
1201 N Orange St Ste 7716
Wilmington, DE 19801-1155
Phone
(302) 603-1005
Fax
(302) 546-5700
NPI assigned
Jan 13, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X H0094339 MD
Family Medicine Physician 207Q00000X 036160620 IL
Family Medicine Physician 207Q00000X C2-0024053 DE
Family Medicine Physician 207Q00000X C0745 KY Primary
Family Medicine Physician 207Q00000X DOS-1911 HI

Addresses

Primary practice location

1201 N Orange St Ste 7716
Wilmington, DE 19801-1155

Mailing address

2901 Richmond Rd Ste 140-155
Lexington, KY 40509-1771

Other practice location 1

1603 Orrington Ave Ste 600
Evanston, IL 60201-3860
Phone (847) 600-9860

Other practice location 2

1207 Delaware Ave # 918
Wilmington, DE 19806-4743
Phone (855) 646-3411

Other practice location 3

8 The Grn # 16016
Dover, DE 19901-3618
Phone (302) 603-1005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, HI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180725001791 CA Practitioner - Family Practice 2466709258 Reassigns benefits to 1 organization
I20181105002058 HI Practitioner - Family Practice 2466709258 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
C2-0024053DEMDFamily Medicine Physician
036160620ILMDFamily Medicine Physician
C0745KYMDFamily Medicine Physician
H0094339MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kauai Medical Clinic CurrentSince Sep 11, 2018 Accepting new patients
Permanente Medical Group, Inc CurrentSince Jun 10, 2018 Accepting new patients
Permanente Medical Group Inc Family Medicine Current Accepting new patients
Kauai Medical Clinic CurrentSince Sep 11, 2018 Accepting new patients
Permanente Medical Group Inc Family Medicine CurrentSince Jun 10, 2018 Accepting new patients
Mindcraft Health LLC Family Medicine PastSince Dec 1, 2024 Accepting new patients
Mindcraft Concierge Services LLC Family Medicine PastSince Mar 11, 2025 Accepting new patients

Locations

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

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

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

3800 Dale Rd
Modesto, CA 95356
Phone (209) 557-1000

1800 Harrison St
Fl 7
Oakland, CA 94612

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

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

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

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

320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834

3-3420 Kuhio Hwy
Ste B
Lihue, HI 96766
Phone (808) 245-1500

3-3420 Kuhio Hwy
Ste B
Lihue, HI 96766
Phone (808) 245-1500

Organizations & group practices 7

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": "1421107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1518356609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 RICHMOND RD STE 140-155",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N ORANGE ST STE 7716",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198011155",
            "telephone_number": "302-603-1005",
            "fax_number": "302-546-5700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1603 Orrington Ave Ste 600",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "602013860",
            "country_code": "US",
            "telephone_number": "847-600-9860",
            "fax_number": "302-546-5700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1207 Delaware Ave # 918",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198064743",
            "country_code": "US",
            "telephone_number": "855-646-3411",
            "fax_number": "302-546-5700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8 The Grn # 16016",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199013618",
            "country_code": "US",
            "telephone_number": "302-603-1005",
            "fax_number": "302-546-5700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANG",
        "first_name": "RYAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-13",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "H0094339",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036160620",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C2-0024053",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "C0745",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "DOS-1911",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.