Individual provider Active NPI

Phaxi Yang, NP

  • Primary Care Nurse Practitioner
  • Fresno, CA
National Provider Identifier
1538751540
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
95016520 Issued in CA
Practice address
1270 E Spruce Ave
Fresno, CA 93720-3312
Phone
(559) 256-5200
Fax
(559) 256-5237
NPI assigned
Feb 10, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X 95016520 CA Primary

Addresses

Primary practice location

1270 E Spruce Ave
Fresno, CA 93720-3312

Mailing address

1270 E Spruce Ave
Fresno, CA 93720-3312
Phone (559) 256-5200

Other practice location 1

2042 Kern St
Fresno, CA 93721-2008
Phone (559) 400-6420

Other practice location 2

6169 N Thesta St
Fresno, CA 93710-5266
Phone (559) 435-1757

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
I20240114000131 CA Practitioner - Nurse Practitioner 9830541960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1270 E Spruce Ave
Fresno, CA 93720-3312
Phone (559) 261-0100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95016520CAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Foundation Medical Group CurrentSince Nov 18, 2023 Accepting new patients
Community Foundation Medical Group Single Specialty Current Accepting new patients
Community Foundation Medical Group CurrentSince Nov 18, 2023 Accepting new patients

Locations

1630 E Herndon Ave
Fresno, CA 93720
Phone (559) 256-5200

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

1270 E Spruce Ave
Fresno, CA 93720
Phone (559) 256-5200

Interoperability endpoints

  • Direct secure messaging: phaxi.yang.p1@direct.spocortho.nextgenshare.com

Organizations & group practices 3

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": "1612915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1538751540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 E SPRUCE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203312",
            "telephone_number": "559-256-5200",
            "fax_number": "559-256-5237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 E SPRUCE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203312",
            "telephone_number": "559-256-5200",
            "fax_number": "559-256-5237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2042 Kern St",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937212008",
            "country_code": "US",
            "telephone_number": "559-400-6420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6169 N Thesta St",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937105266",
            "country_code": "US",
            "telephone_number": "559-435-1757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANG",
        "first_name": "PHAXI",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-10",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95016520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.