Organization Active NPI

Ted P Yang, MD, Inc

  • Cardiovascular Disease Physician
  • Torrance, CA
National Provider Identifier
1801414784
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
TED P YANG, MD, INC
Doing business as
Ted P Yang, MD inc
Practice address
4305 Torrance Blvd Ste 505
Torrance, CA 90503-4496
Phone
(310) 355-8488
Fax
(949) 276-3213
NPI assigned
Jul 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Authorized official

Name
Dr. Ted P Yang, MDNPI 1407865959
Title
Ceo
Phone
(310) 355-8488

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

4305 Torrance Blvd Ste 505
Torrance, CA 90503-4496

Mailing address

4305 Torrance Blvd Ste 505
Torrance, CA 90503-4496
Phone (310) 355-8488

Other names 1

  • Ted P Yang, MD inc Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201226000033 CA Part B Supplier - Clinic/Group Practice 8224440805 Receives reassigned benefits from 1 practitioner
Practice locations: Torrance, CA

National Provider Directory

National Provider Directory

Locations

4305 Torrance Blvd
Ste 505
Torrance, CA 90503
Phone (310) 214-0022

3178 Kashiwa St
Torrance, CA 90505

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1801414784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 TORRANCE BLVD STE 505",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034496",
            "telephone_number": "310-355-8488",
            "fax_number": "949-276-3213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 TORRANCE BLVD STE 505",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034496",
            "telephone_number": "310-355-8488",
            "fax_number": "949-276-3213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TED P YANG, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-08",
        "last_updated": "2021-03-16",
        "certification_date": "2021-01-05",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "TED",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-355-8488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ted P Yang, MD inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ted P Yang, MD inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.