Active NPI
Sung Chul Yang, MD
- Nephrology Physician
- Lancaster, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- A43185
- Practice address
- 1759 W Avenue J
Ste 101
Lancaster, CA 93534-2703 - Phone
- (661) 948-1388
- Fax
- (661) 948-1223
- NPI assigned
- Mar 14, 2006
- Last updated
- Feb 23, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | A43185 | CA | Primary |
Addresses
Primary practice location
1759 W Avenue J
Ste 101
Lancaster, CA 93534-2703
Mailing address
PO Box 2768
Lancaster, CA 93539-2768
Phone (661) 948-1388
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Los Angeles | Current | Accepting new patients | |
| Antelope Valley Nephrology Medical Group, Inc. | Current | Accepting new patients | |
| County of Los Angeles | Current | Accepting new patients | |
| County of Los Angeles | Current | Accepting new patients |
Locations
1000 S Fremont Ave
Unit 9
Alhambra, CA 91803
1108 N Oleander Ave
Compton, CA 90222
Phone (310) 763-2244
123 W Manchester Blvd
Inglewood, CA 90301
Phone (310) 419-5325
1759 W Avenue J
#101
Lancaster, CA 93534
Phone (661) 948-1388
335 E Avenue I
Lancaster, CA 93535
Phone (661) 471-4000
44900 60th St W
Lancaster, CA 93536
Phone (661) 945-8413
212 S Richmond Rd
Ridgecrest, CA 93555
Phone (661) 948-1388
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- sung.yang@direct.davitaphysiciansolutions.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Lancaster, CA
- NPI 1336172949
-
dba County of Los Angeles Harbor UCLA Medical Center
- General Acute Care Hospital
- Torrance, CA
- NPI 1851363188
-
- Clinic/Center
- Los Angeles, CA
- NPI 1295407401
-
dba Ruth Temple Health Center
- State or Local Public Health Clinic/Center
- Los Angeles, CA
- NPI 1487848248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456185600000",
"number": "1871562900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2768",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935392768",
"telephone_number": "661-948-1388",
"fax_number": "661-948-1223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1759 W AVENUE J",
"address_2": "STE 101",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935342703",
"telephone_number": "661-948-1388",
"fax_number": "661-948-1223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANG",
"first_name": "SUNG",
"middle_name": "CHUL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2016-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "CA",
"license": "A43185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.