Active NPI
Sally Yang
- Pharmacist
- Redondo Beach, CA
National Provider Identifier
1902681778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 50754
- Practice address
- 1880 S Pacific Coast Hwy
Redondo Beach, CA 90277-6117 - Phone
- (310) 316-6492
- NPI assigned
- Aug 29, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 50754 | CA | Primary |
Addresses
Primary practice location
1880 S Pacific Coast Hwy
Redondo Beach, CA 90277-6117
Mailing address
2370 Crenshaw Blvd Ste G
Torrance, CA 90501-3352
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50754 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longs Drug Stores California LLC | Current | Accepting new patients | |
| Longs Drug Store California LLC | Past | Accepting new patients |
Locations
1880 S Pacific Coast Hwy
Redondo Beach, CA 90277
Phone (310) 316-6492
Organizations & group practices 2
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": "1693267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693267200000",
"number": "1902681778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2370 CRENSHAW BLVD STE G",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905013352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1880 S PACIFIC COAST HWY",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902776117",
"telephone_number": "310-316-6492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANG",
"first_name": "SALLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-29",
"last_updated": "2023-08-29",
"certification_date": "2023-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "50754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redondo Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.