Individual provider Active NPI

Ian Yip, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Woodland Hills, CA
National Provider Identifier
1770503955
Registry record updated Feb 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
G73119 Issued in CA
Practice address
6325 Topanga Cyn Blvd
Suite 315
Woodland Hills, CA 91367-2033
Phone
(818) 615-2888
NPI assigned
Jul 20, 2006
Last updated
Feb 27, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X G73119 CA Primary

Addresses

Primary practice location

6325 Topanga Cyn Blvd
Suite 315
Woodland Hills, CA 91367-2033

Mailing address

6325 Topanga Cyn Blvd
Suite 315
Woodland Hills, CA 91367-2033
Phone (818) 615-2888

Other identifiers 1

IdentifierTypeStateIssuer
00G731190OtherCAMEDICAL PPIN #

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
I20040228000554 CA Practitioner - EndocrinologyPractitioner - Internal MedicinePractitioner - Other (Physician) 9931096542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Washington University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6325 Topanga Canyon Blvd
Suite 315
Woodland Hills, CA 91367-2033
Phone (818) 615-2888

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G73119CAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nutrition Medical Center Inc Endocrinology, Diabetes & Metabolism CurrentSince Aug 29, 2010 Accepting new patients
Diabetes and Endocrine Specialists Inc Endocrinology, Diabetes & Metabolism Current Accepting new patients

Locations

6325 Topanga Canyon Blvd
Ste 315
Woodland Hls, CA 91367
Phone (818) 615-2888

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424995200000",
    "number": "1770503955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6325 TOPANGA CYN BLVD",
            "address_2": "SUITE 315",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913672033",
            "telephone_number": "818-615-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6325 TOPANGA CYN BLVD",
            "address_2": "SUITE 315",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913672033",
            "telephone_number": "818-615-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YIP",
        "first_name": "IAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2015-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "G73119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PPIN #",
            "identifier": "00G731190",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

Verify at the official NPI Registry.