Yang Xie Healthcare Incorporation

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

YANG XIE HEALTHCARE INCORPORATION

Doing business as

Tai Yang Pharmacy

Practice address

328 S Atlantic Blvd Ste 108
Monterey Park, CA 91754-3243

Phone

(626) 795-8893

NPI assigned

Aug 25, 2023

Organization subpart

No

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

Authorized official

Name

Diana XieNPI 1669246336

Title

Ceo

Phone

(626) 795-8893

Specialties & licenses 2

Addresses

Other names 1

• Tai Yang Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Tai Yang Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Yang Xie Healthcare Incorporation

  • Long Term Care Pharmacy
  • Monterey Park, CA
  • NPI 1104743996
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Diana Xie, PHARM.D.

  • Pharmacist
  • Monterey Park, CA
  • NPI 1669246336
  NPD Authorized official
• Kevin Louie

  • Pharmacist
  • Monterey Park, CA
  • NPI 1548871775
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1639954050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 S ATLANTIC BLVD STE 108",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917543243",
            "telephone_number": "626-795-8893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 S ATLANTIC BLVD STE 108",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917543243",
            "telephone_number": "626-795-8893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YANG XIE HEALTHCARE INCORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-25",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A",
        "authorized_official_last_name": "XIE",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-795-8893"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tai Yang Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tai Yang Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zhehua Xu, M.D.
• Jeanine Yamanaka, MD
• Michelle Yan, PA-C
• Yanco Pharmacy Inc
• Yang Xie Healthcare Incorporation
• Cheng Yu Yang
• Jeremy Tyler Yang, DC
• Jin Quan Yang, M.D.
• Li Yang, M.D.
• Rex Yang

• Community/Retail Pharmacy in Monterey Park, CA
• Providers in Monterey Park, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.