Individual provider Active NPI

Kim S Yang, MD

  • Neurology Physician
  • San Gabriel, CA
National Provider Identifier
1609854231
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A40824 Issued in CA
Practice address
207 S Santa Anita St
Ste 320
San Gabriel, CA 91776-1154
Phone
(626) 458-0181
Fax
(626) 458-0183
NPI assigned
Jan 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A40824 CA Primary

Addresses

Primary practice location

207 S Santa Anita St
Ste 320
San Gabriel, CA 91776-1154

Mailing address

207 S Santa Anita St
Ste 320
San Gabriel, CA 91776-1154
Phone (626) 458-0181

Other identifiers 1

IdentifierTypeStateIssuer
00A408240MedicaidCA

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
I20041211000037 CA Practitioner - Neurology 7214994243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

207 S Santa Anita St
Suite 320
San Gabriel, CA 91776-1154
Phone (626) 458-0181

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40824CAMDPharmacist
A40824CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph C. Lu, DO. Inc Neurology CurrentSince May 8, 2022 Accepting new patients
Kim Shiu-Chin Yang M.D.,Inc. Neurology CurrentSince Jan 2, 2007 Accepting new patients

Locations

207 S Santa Anita St
Ste 320
San Gabriel, CA 91776
Phone (626) 458-0181

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1609854231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 S SANTA ANITA ST",
            "address_2": "STE 320",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761154",
            "telephone_number": "626-458-0181",
            "fax_number": "626-458-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 S SANTA ANITA ST",
            "address_2": "STE 320",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761154",
            "telephone_number": "626-458-0181",
            "fax_number": "626-458-0183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "KIM",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-04",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A40824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A408240",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Gabriel, CA

Sources for this page

Verify at the official NPI Registry.