Yancey Outreach International Inc.

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Legal business name

YANCEY OUTREACH INTERNATIONAL INC.

Practice address

2740 Fulton Ave Ste 121
Sacramento, CA 95821-5190

Phone

(916) 252-3783

NPI assigned

Feb 29, 2024

Organization subpart

No

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

Authorized official

Name

Mark Yancey Sr.NPI 1386181337

Title

Officer

Phone

(916) 914-5012

Specialties & licenses 1

Addresses

Other names 1

• Yancey Recovery Services Doing business as

Tax ID family

Yancey Christian Recovery Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Yancey Outreach International Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Sacramento, CA
  • NPI 1033739321
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Yancey Sr., CADCII

  • Addiction (Substance Use Disorder) Counselor
  • Roseville, CA
  • NPI 1386181337
  NPD Authorized official

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

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1922865500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 DEL PASO RD # 130-250",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958352305",
            "telephone_number": "916-914-5012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 FULTON AVE STE 121",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958215190",
            "telephone_number": "916-252-3783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YANCEY OUTREACH INTERNATIONAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-29",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "YANCEY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "916-914-5012",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yancey Recovery Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachael Yan
• Ting Rong Yan, PHARMD
• Wendy C. Yan, M.D.
• Jennifer Yana
• Yancey Outreach International Inc.
• Brenda Yanez, BA
• Guadalupe Yanez, M.A.
• Jerico Yanez
• Moses Ismael Yanez III
• Aimee Kalea Yang

• Community Health Worker in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.