Individual provider Active NPI

Xue Yan Yang

  • Clinical Social Worker
  • San Mateo, CA
National Provider Identifier
1871455774
Registry record updated Nov 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
132458 Issued in CA
Practice address
1732 Washington St
San Mateo, CA 94403-1135
Phone
(415) 676-9780
NPI assigned
Nov 29, 2025
Last updated
Nov 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 132458 CA Primary

Addresses

Primary practice location

1732 Washington St
San Mateo, CA 94403-1135

Mailing address

1732 Washington St
San Mateo, CA 94403-1135
Phone (415) 676-9780

Other names 1

  • Ivory Yang Other name

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260130002221 CA Practitioner - Clinical Social Worker 9739667775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Moona Medical Group of California PCGroup PAC ID 2365955630, 25 clinicians

Practice addresses (Care Compare)

534 Steiner St
San Francisco, CA 94117-2523
Phone (405) 400-0633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
132458CAMDClinical Social Worker

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1764374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764374400000",
    "number": "1871455774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1732 WASHINGTON ST",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944031135",
            "telephone_number": "415-676-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1732 WASHINGTON ST",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944031135",
            "telephone_number": "415-676-9780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "XUE YAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-11-29",
        "last_updated": "2025-11-29",
        "certification_date": "2025-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "132458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IVORY",
            "last_name": "YANG",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Mateo, CA

Sources for this page

Verify at the official NPI Registry.