Individual provider Active NPI

Andrew Taylor Yen, DO

  • Family Medicine Physician
  • Alhambra, CA
National Provider Identifier
1578097275
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A16640 Issued in CA
Practice address
55 S Raymond Ave Ste 200
Alhambra, CA 91801-7103
Phone
(626) 570-8005
NPI assigned
Apr 19, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A16640 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X CA

Addresses

Primary practice location

55 S Raymond Ave Ste 200
Alhambra, CA 91801-7103

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3203

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190216000148 CA Practitioner - Family Practice 4587915814 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
College of Osteo Med of the Pacific at Pomona, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthcare Partners Affiliates Medical GroupGroup PAC ID 7315842002, 775 clinicians

Practice addresses (Care Compare)

207 S Santa Anita St
Suite 205
San Gabriel, CA 91776-1147
Phone (626) 576-0800

502 Torrance Blvd
Redondo Beach, CA 90277-3413
Phone (310) 316-0811

55 S Raymond Ave
Suite 200
Alhambra, CA 91801-7103
Phone (626) 570-8005

824 E Carson St
Suite 104
Carson, CA 90745-2262
Phone (310) 830-9706

PO Box
Suite 35380
Las Vegas, NV 89133-5380

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A16640CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Affiliates Medical Group Family Medicine Current Accepting new patients
Gateway Medical Services, Inc. Family Medicine CurrentSince Nov 1, 2018 Accepting new patients
Gateway Medical Center Inc PastSince Feb 15, 2014 Accepting new patients
Memorial Medical Group Inc Past Accepting new patients
Redding Rancheria Past Accepting new patients

Locations

55 S Raymond Ave
Alhambra, CA 91801
Phone (626) 570-8005

55 S Raymond Ave
Ste 200
Alhambra, CA 91801
Phone (626) 570-8005

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

3082 McMurray Dr
Anderson, CA 96007
Phone (530) 365-4412

5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864

2910 Jefferson St
Ste 100
Carlsbad, CA 92008
Phone (760) 729-8600

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

9461 Deschutes Rd
Ste 4
Palo Cedro, CA 96073
Phone (530) 547-5305

1310 Churn Creek Rd
Ste E5
Redding, CA 96003
Phone (530) 722-9907

601 Torrance Blvd
Redondo Beach, CA 90277
Phone (310) 316-0811

207 S Santa Anita St
Ste 205
San Gabriel, CA 91776
Phone (626) 576-0800

1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: ayen205583@westdirect.optum.com

Organizations & group practices 5

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": "1492560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1578097275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "702-579-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 S RAYMOND AVE STE 200",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918017103",
            "telephone_number": "626-570-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEN",
        "first_name": "ANDREW",
        "middle_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-19",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A16640",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

Verify at the official NPI Registry.