Individual provider Active NPI

Kyle Shinichi Yang

  • Physical Medicine & Rehabilitation Physician
  • Los Angeles, CA
National Provider Identifier
1730521501
Registry record updated Apr 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A143710 Issued in CA
Practice address
2070 Century Park E
Los Angeles, CA 90067-1907
Phone
(916) 816-0602
NPI assigned
Jul 22, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X A143710 CA Primary

Addresses

Primary practice location

2070 Century Park E
Los Angeles, CA 90067-1907

Mailing address

1262 S Barrington Ave
Apt 102
Los Angeles, CA 90025-1643
Phone (323) 788-0003

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
I20190904002627 CA Practitioner - Physical Medicine and RehabilitationPractitioner - Other (Physician) 0446589295 Reassigns benefits to 2 organizations
Practice locations: Los Angeles, CA

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of California, Davis School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1131 Wilshire Blvd
Suite 100
Santa Monica, CA 90401-2072
Phone (310) 319-3475

1225 15TH St
Suite 2100
Santa Monica, CA 90404-1101
Phone (310) 319-1234

1250 16TH St
Santa Monica, CA 90404-1249

3500 Lomita Blvd
Torrance, CA 90505-5038

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.27 of 100Reported as group
Quality
80.41
Promoting interoperability
100
Improvement activities
40
Cost
68.99

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A143710CAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Regents of the University of California CurrentSince Mar 19, 2023 Accepting new patients
Regents of the University of California CurrentSince Aug 7, 2019 Accepting new patients
Regents of the University of California Current Accepting new patients
Regents of the University of California CurrentSince Aug 7, 2019 Accepting new patients
The Regents of the University of California CurrentSince Mar 19, 2023 Accepting new patients
UCLA Medical Group Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
The Regents of the University of California Past Accepting new patients

Locations

15503 Ventura Blvd
Ste 240
Encino, CA 91436
Phone (310) 825-7163

File 54206
Los Angeles, CA 90074

File 55737
Los Angeles, CA 90074

501 Deep Valley Dr
Ste 100
Rolling Hills Estates, CA 90274
Phone (310) 303-3953

1131 Wilshire Blvd
Ste 100
Santa Monica, CA 90401
Phone (310) 458-2381

1250 16th St
Santa Monica, CA 90404
Phone (310) 301-8695

2780 Skypark Dr
Ste 145
Torrance, CA 90505
Phone (310) 530-8001

3500 Lomita Blvd
Ste M100
Torrance, CA 90505
Phone (310) 325-7404

Interoperability endpoints

  • Direct secure messaging: kyang477962@direct.uclahealth.org

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1730521501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1262 S BARRINGTON AVE",
            "address_2": "APT 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251643",
            "telephone_number": "323-788-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2070 CENTURY PARK E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900671907",
            "telephone_number": "916-816-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "KYLE",
        "middle_name": "SHINICHI",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-22",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A143710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.