Active NPI
Roberta Kuo-Ju Yang, M.D.
- Diagnostic Radiology Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD435300
- Practice address
- 111 S 11TH St
Suite 2170
Philadelphia, PA 19107-4824 - Phone
- (314) 323-8256
- NPI assigned
- Mar 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | A108549 | CA | |
| Diagnostic Radiology Physician | 2085R0202X | 2003013853 | MO | |
| Diagnostic Radiology Physician | 2085R0202X | MT192254 | PA | |
| Diagnostic Radiology Physician | 2085R0202X | MD435300 | PA | Primary |
Addresses
Primary practice location
111 S 11TH St
Suite 2170
Philadelphia, PA 19107-4824
Mailing address
30 N 3Rd St Apt 4a
Philadelphia, PA 19106-2135
Phone (314) 323-8256
Other practice location 1
1510 E Herndon Ave Ste 110
Fresno, CA 93720-3333
Phone (559) 450-6742
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Washington University School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1510 E Herndon Ave
Suite 110
Fresno, CA 93720-3333
Phone (559) 450-6742
Hospital & facility affiliations
- Saint Agnes Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 88.21
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A108549 | CA | MD | Diagnostic Radiology Physician |
| 2003013853 | MO | MD | Diagnostic Radiology Physician |
| MD435300 | PA | MD | Diagnostic Radiology Physician |
| MT192254 | PA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Imaging Institute Medical Group Inc | Current | Accepting new patients | |
| Diagnostic Radiological Imaging | Diagnostic Radiology | Current | Accepting new patients |
| Beverly Radiology Medical Group III | Diagnostic Radiology | Current | Accepting new patients |
| Forefront Radiology Medical Group PC | Diagnostic Radiology | Current | Accepting new patients |
| Beverly Radiology Medical Group III | Diagnostic Radiology | Current | Accepting new patients |
| LQMG Medical Group Inc. | Current | Accepting new patients | |
| San Fernando Valley Interventional Radiology and Imaging Center | Current | Accepting new patients | |
| Pronet Imaging Medical Group, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Saint Agnes Medical Foundation | Current | Accepting new patients | |
| Saint Agnes Medical Center | Past | Accepting new patients | |
| Advanced Medical Imaging | Past | Accepting new patients |
Locations
18523 Corwin Rd
Ste J
Apple Valley, CA 92307
Phone (760) 242-4444
8750 Wilshire Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 689-3100
801 S Main St
Ste 101
Corona, CA 92882
Phone (951) 682-1099
16130 Ventura Blvd
Ste 100
Encino, CA 91436
Phone (818) 933-2020
16311 Ventura Blvd
Ste 120
Encino, CA 91436
Phone (818) 817-7707
7202 N Millbrook Ave
Ste 206
Fresno, CA 93720
Phone (559) 450-2300
1867 E Fir Ave
Ste 101
Fresno, CA 93720
Phone (559) 325-5800
1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000
6297 N Fresno St
Fresno, CA 93710
Phone (559) 447-4000
1867 E Fir Ave
Ste 104
Fresno, CA 93720
Phone (559) 325-5800
1221 E Spruce Ave
Fresno, CA 93720
Phone (559) 449-5777
1827 E Fir Ave
Ste 101
Fresno, CA 93720
Phone (559) 297-9002
6107 N Fresno St
Ste 101
Fresno, CA 93710
Phone (559) 435-4433
1510 E Herndon Ave
Ste 110
Fresno, CA 93720
Phone (559) 450-6742
6191 N Thesta St
Fresno, CA 93710
Phone (559) 435-7200
9191 Westminster Ave
Ste 105
Garden Grove, CA 92844
Phone (714) 583-6314
2679 Zoe Ave
Huntington Park, CA 90255
Phone (323) 584-3333
3320 N Los Coyotes Diagonal
Ste 120
Long Beach, CA 90808
Phone (562) 627-0903
3715 E South St
Long Beach, CA 90805
Phone (562) 602-0700
1516 Cotner Ave
Los Angeles, CA 90025
Phone (310) 445-2843
27168 Newport Rd
Ste B
Menifee, CA 92584
Phone (951) 566-5725
8283 Grove Ave
Ste 101
Rch Cucamonga, CA 91730
Phone (909) 982-8638
79 Scripps Dr
Ste 100
Sacramento, CA 95825
Phone (916) 921-1200
300 Lombard St
Thousand Oaks, CA 91360
Phone (805) 495-1220
4516 Market St
Ventura, CA 93003
Phone (805) 654-8170
Interoperability endpoints
- ryang2712460@direct.trinity-health.org
- https://api.platform.athenahealth.com/18604/brand/1/csg/1/fhir/r4
Organizations & group practices 11
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.
-
- Internal Medicine Physician
- Fresno, CA
- NPI 1558819482
-
- Diagnostic Radiology Physician
- Los Angeles, CA
- NPI 1962457812
-
- Radiology Clinic/Center
- Fresno, CA
- NPI 1497764468
-
- Diagnostic Radiology Physician
- Sacramento, CA
- NPI 1710931910
-
- Diagnostic Radiology Physician
- Fresno, CA
- NPI 1689232449
-
- Diagnostic Radiology Physician
- Los Angeles, CA
- NPI 1528099488
-
- Vascular-Interventional Technology Radiologic Technologist
- Encino, CA
- NPI 1942350889
-
- Diagnostic Radiology Physician
- Menifee, CA
- NPI 1649599085
-
- Internal Medicine Physician
- Fresno, CA
- NPI 1437166360
-
- Radiology Clinic/Center
- Fresno, CA
- NPI 1578574273
-
- General Acute Care Hospital
- Fresno, CA
- NPI 1205845567
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fresno, CA
- NPI 1205845567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714953600000",
"number": "1740308972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 N 3RD ST APT 4A",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191062135",
"telephone_number": "314-323-8256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 S 11TH ST",
"address_2": "SUITE 2170",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074824",
"telephone_number": "314-323-8256"
}
],
"practiceLocations": [
{
"address_1": "1510 E Herndon Ave Ste 110",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937203333",
"country_code": "US",
"telephone_number": "559-450-6742",
"fax_number": "559-450-6743",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YANG",
"first_name": "ROBERTA",
"middle_name": "KUO-JU",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2024-05-06",
"certification_date": "2024-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A108549",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": "2003013853",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MT192254",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD435300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.