Organization Active NPI

Yongqing Feng M.D. Professional Corporation

  • Clinic/Center
  • Rowland Heights, CA
National Provider Identifier
1659757474
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
YONGQING FENG M.D. PROFESSIONAL CORPORATION
Practice address
18391 Colima Road, Suite 208
Rowland Heights, CA 91748
Phone
(626) 839-6633
Fax
(626) 839-6636
NPI assigned
Aug 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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

Authorized official

Name
Yongqing Feng, MDNPI 1497806988
Title
President
Phone
(626) 839-6633

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

18391 Colima Road, Suite 208
Rowland Heights, CA 91748

Mailing address

18391 Colima Road, Suite 208
Rowland Heights, CA 91748
Phone (626) 839-6633

Other identifiers 1

IdentifierTypeStateIssuer
1840041MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150818003027 CA Part B Supplier - Clinic/Group Practice 1850606047 Receives reassigned benefits from 1 practitioner
Practice locations: Rowland Heights, CA

National Provider Directory

National Provider Directory

Locations

18391 Colima Rd
Ste 208
Rowland Hghts, CA 91748
Phone (626) 839-6633

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596585600000",
    "number": "1659757474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18391 COLIMA ROAD, SUITE 208",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "91748",
            "telephone_number": "626-839-6633",
            "fax_number": "626-839-6636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18391 COLIMA ROAD, SUITE 208",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "91748",
            "telephone_number": "626-839-6633",
            "fax_number": "626-839-6636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YONGQING FENG M.D. PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-04",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A",
        "authorized_official_last_name": "FENG",
        "authorized_official_first_name": "YONGQING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-839-6633",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1840041",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rowland Heights, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; 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.