Individual provider Active NPI

Xiaofeng Yan, MD, PHD

  • Psychiatry Physician
  • Folsom, CA
National Provider Identifier
1740868124
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A194611 Issued in CA
Practice address
950 Glenn Dr Ste 235
Folsom, CA 95630-3193
Phone
(916) 209-0533
Fax
(916) 209-4056
NPI assigned
Mar 29, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X A194611 CA Primary

Addresses

Primary practice location

950 Glenn Dr Ste 235
Folsom, CA 95630-3193

Mailing address

2254 Cannery Loop
Davis, CA 95616-1392

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
I20250703003510 CA Practitioner - Psychiatry 9234531104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Norcal NeurostimulationGroup PAC ID 9537520762, 4 clinicians

Practice addresses (Care Compare)

50 Iron Point Cir
Suite 140
Folsom, CA 95630-8594
Phone (916) 209-0533

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A194611CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norcal Neurostimulation Psychiatry CurrentSince Jul 21, 2025 Accepting new patients

Locations

50 Iron Point Cir
Ste 140
Folsom, CA 95630
Phone (916) 209-0533

950 Glenn Dr
Ste 235
Folsom, CA 95630
Phone (916) 209-0533

Organizations & group practices 1

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": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1740868124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2254 CANNERY LOOP",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956161392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 GLENN DR STE 235",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303193",
            "telephone_number": "916-209-0533",
            "fax_number": "916-209-4056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAN",
        "first_name": "XIAOFENG",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-29",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A194611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

Verify at the official NPI Registry.