Active NPI
Mimi Yang, PA-C
- Rheumatology Physician
- Whittier, CA
National Provider Identifier
1659837250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 56428
- Practice address
- 12456 Washington Blvd
Whittier, CA 90602-1005 - Phone
- (562) 758-6600
- NPI assigned
- Feb 19, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 56428 | CA | Primary |
Addresses
Primary practice location
12456 Washington Blvd
Whittier, CA 90602-1005
Mailing address
2606 Milton Ave Apt 1
Fullerton, CA 92831-1482
Phone (213) 254-8501
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkview Orthopaedic Group S C | Past | Accepting new patients |
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.
-
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- Downey, CA
- NPI 1235593567
-
- Specialist
- Palos Heights, IL
- NPI 1154350353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550534400000",
"number": "1659837250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2606 MILTON AVE APT 1",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928311482",
"telephone_number": "213-254-8501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12456 WASHINGTON BLVD",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906021005",
"telephone_number": "562-758-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANG",
"first_name": "MIMI",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-19",
"last_updated": "2019-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "CA",
"license": "56428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Whittier, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.