Individual provider Active NPI

Simin Yang

  • Acupuncturist
  • Pasadena, CA
National Provider Identifier
1710186895
Registry record updated Jul 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC5737 Issued in CA
Practice address
770 S Arroyo Pkwy
Sute 117
Pasadena, CA 91105-3255
Phone
(626) 487-6014
Fax
(626) 395-7766
NPI assigned
Jul 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC5737 CA Primary

Addresses

Primary practice location

770 S Arroyo Pkwy
Sute 117
Pasadena, CA 91105-3255

Mailing address

703 E California Blvd
# 5
Pasadena, CA 91106-3834
Phone (626) 487-6014

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AC5737CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184630400000",
    "number": "1710186895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 E CALIFORNIA BLVD",
            "address_2": "# 5",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911063834",
            "telephone_number": "626-487-6014",
            "fax_number": "626-395-7766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 S ARROYO PKWY",
            "address_2": "SUTE 117",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053255",
            "telephone_number": "626-487-6014",
            "fax_number": "626-395-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "SIMIN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-17",
        "last_updated": "2007-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC5737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.