Individual provider Active NPI

Howard Yan, PT, DPT, COMT

  • Physical Therapist
  • Huntington Beach, CA
National Provider Identifier
1851830392
Registry record updated Jul 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT293241 Issued in CA
Practice address
16271 Beach Blvd
Huntington Beach, CA 92647-4102
Phone
(714) 375-1755
Fax
(714) 375-1757
NPI assigned
Feb 16, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 22806 MA
Physical Therapist 225100000X PT293241 CA Primary

Addresses

Primary practice location

16271 Beach Blvd
Huntington Beach, CA 92647-4102

Mailing address

16271 Beach Blvd
Huntington Beach, CA 92647-4102
Phone (714) 375-1755

Other practice location 1

300 Ocean Avenue
Physical Therapy Services, MGH Revere Healthcare Center
Revere, MA 02151
Phone (781) 485-6268

Other practice location 2

1190 Baker St
Costa Mesa, CA 92626-4108
Phone (714) 979-3500

Other identifiers 1

IdentifierTypeStateIssuer
PT293241OtherCAPHYSICAL THERAPY BOARD OF CALIFORNIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190912003388 CA Practitioner - Physical Therapist in Private Practice 6204165475 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ando and Aston Physical Therapy IncGroup PAC ID 0941191050, 5 clinicians

Practice addresses (Care Compare)

1111 W Town and Country Rd
Suite 1
Orange, CA 92868-4635
Phone (714) 997-5518

6200 E Canyon Rim Rd
113E
Anaheim, CA 92807-4317
Phone (714) 974-0330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT293241CAMDPhysical Therapist
22806MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Shoreline Physical Therapy, Inc. CurrentSince Aug 14, 2023 Accepting new patients
Grace L Walker Physical Therapy a Professional Corporation Physical Therapist CurrentSince Aug 14, 2023 Accepting new patients
Ando & Aston Physical Therapy, Inc. Physical Therapist CurrentSince Aug 14, 2023 Accepting new patients
DPT Holdings PLLC Physical Therapist CurrentSince Sep 1, 2025 Accepting new patients

Locations

4050 E Cotton Center Blvd
Ste 18
Phoenix, AZ 85040
Phone (480) 653-8200

6200 E Canyon Rim Rd
#113E113E
Anaheim, CA 92807
Phone (714) 974-0330

6200 E Canyon Rim Rd
#113E
Anaheim, CA 92807
Phone (714) 974-0330

9036 Adams Ave
Huntington Beach, CA 92646
Phone (714) 716-9373

19582 Beach Blvd
Ste 130
Huntington Beach, CA 92648
Phone (714) 841-6162

1111 W Town and Country Rd
Ste 1
Orange, CA 92868
Phone (714) 997-5518

8150 Highway 26
North Richlnd Hls, TX 76180
Phone (817) 349-2777

Organizations & group practices 4

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": "1487203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1851830392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16271 BEACH BLVD",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926474102",
            "telephone_number": "714-375-1755",
            "fax_number": "714-937-5175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16271 BEACH BLVD",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926474102",
            "telephone_number": "714-375-1755",
            "fax_number": "714-375-1757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Ocean Avenue",
            "address_2": "Physical Therapy Services, MGH Revere Healthcare Center",
            "address_purpose": "LOCATION",
            "city": "Revere",
            "state": "MA",
            "postal_code": "02151",
            "country_code": "US",
            "telephone_number": "781-485-6268",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1190 Baker St",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926264108",
            "country_code": "US",
            "telephone_number": "714-979-3500",
            "fax_number": "714-979-9880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAN",
        "first_name": "HOWARD",
        "credential": "PT, DPT, COMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-16",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "22806",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT293241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY BOARD OF CALIFORNIA",
            "identifier": "PT293241",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.