Individual provider Active NPI

Gene Yang, MD, MBA

  • Child & Adolescent Psychiatry Physician
  • Los Angeles, CA
National Provider Identifier
1740676519
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
66959-20 Issued in WI
Practice address
5140 W Goldleaf Cir Ste 250
Los Angeles, CA 90056-1656
Phone
(323) 431-3300
NPI assigned
Apr 8, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 66959-20 WI
Child & Adolescent Psychiatry Physician 2084P0804X 66959-20 WI Primary

Addresses

Primary practice location

5140 W Goldleaf Cir Ste 250
Los Angeles, CA 90056-1656

Mailing address

5140 W Goldleaf Cir Ste 250
Los Angeles, CA 90056-1656
Phone (323) 431-3300

Other practice location 1

34700 Valley Rd
Oconomowoc, WI 53066-4500
Phone (262) 646-4411

Other practice location 2

406 Science Dr Ste 110
Madison, WI 53711-1097
Phone (608) 238-4411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190829002819 WI Practitioner - Psychiatry 7214248798 Reassigns benefits to 1 organization
I20260619001537 CA Practitioner - Psychiatry 7214248798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Univ of Rochester School of Dental Medicine, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5609 Bienveneda Ter
Palmdale, CA 93551-5732

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
66959-20WIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rogers Memorial Hospital Incorporated CurrentSince Jul 22, 2019 Accepting new patients
Rogers Behavioral Health, Inc. CurrentSince Aug 15, 2021 Accepting new patients
Rogers Behavioral Health - Wisconsin SC Psychiatry PastSince Jul 1, 2020 Accepting new patients
Rogers Behavioral Health, Inc. PastSince Aug 15, 2021 Accepting new patients
Rogers Behavioral Health Practice - California PC Psychiatry PastSince Mar 30, 2025 Accepting new patients

Locations

5140 W Goldleaf Cir
Ste 250
Los Angeles, CA 90056
Phone (262) 563-9755

17140 Bernardo Center Dr
Ste 300
San Diego, CA 92128
Phone (858) 716-8100

420 N Wiget Ln
Bldg 2
Walnut Creek, CA 94598
Phone (925) 266-8800

406 Science Dr
Ste 110
Madison, WI 53711
Phone (608) 238-4411

34700 Valley Rd
Oconomowoc, WI 53066

1205 Corporate Center Dr
Oconomowoc, WI 53066
Phone (262) 567-4828

2424 S 102nd St
West Allis, WI 53227
Phone (414) 373-7474

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1740676519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5140 W GOLDLEAF CIR STE 250",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900561656",
            "telephone_number": "323-431-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5140 W GOLDLEAF CIR STE 250",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900561656",
            "telephone_number": "323-431-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34700 Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Oconomowoc",
            "state": "WI",
            "postal_code": "530664500",
            "country_code": "US",
            "telephone_number": "262-646-4411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "406 Science Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537111097",
            "country_code": "US",
            "telephone_number": "608-238-4411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANG",
        "first_name": "GENE",
        "name_prefix": "Dr.",
        "credential": "MD, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-08",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "66959-20",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "WI",
            "license": "66959-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.