Active NPI
Howard Yan, PT, DPT, COMT
- Physical Therapist
- Huntington Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT293241
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT293241 | Other | CA | PHYSICAL THERAPY BOARD OF CALIFORNIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT293241 | CA | MD | Physical Therapist |
| 22806 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shoreline Physical Therapy, Inc. | Current | Accepting new patients | |
| Grace L Walker Physical Therapy a Professional Corporation | Physical Therapist | Current | Accepting new patients |
| Ando & Aston Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
| DPT Holdings PLLC | Physical Therapist | Current | 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.
-
- Physical Therapist
- Anaheim Hills, CA
- NPI 1457315889
-
- Physical Therapist
- Orange, CA
- NPI 1427147974
-
- Orthopedic Physical Therapist
- Huntington Beach, CA
- NPI 1760453229
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.