Active NPI
Calvin Yang, PSYD
- Clinical Psychologist
- Los Angeles, CA
National Provider Identifier
1538828561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSB94026352
- Practice address
- 1000 Wilshire Blvd # 240
Los Angeles, CA 90017-2457 - Phone
- (424) 201-1600
- NPI assigned
- Dec 17, 2021
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSB94026352 | CA | Primary |
Addresses
Primary practice location
1000 Wilshire Blvd # 240
Los Angeles, CA 90017-2457
Mailing address
2601 Airport Dr Ste 135
Torrance, CA 90505-6141
Phone (424) 337-0370
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSB94026352 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossroads Institute for Psychotherapy and Assessment, Inc | Clinical | Current | Accepting new patients |
Locations
1000 Wilshire Blvd
Ste 240
Los Angeles, CA 90017
Phone (424) 201-1600
2601 Airport Dr
Ste 135
Torrance, CA 90505
Phone (424) 201-1600
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Torrance, CA
- NPI 1831432806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639699200000",
"number": "1538828561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 AIRPORT DR STE 135",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905056141",
"telephone_number": "424-337-0370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 WILSHIRE BLVD # 240",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900172457",
"telephone_number": "424-201-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANG",
"first_name": "CALVIN",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-12-17",
"last_updated": "2021-12-17",
"certification_date": "2021-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSB94026352",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.