Individual provider Active NPI

Kevin Yan

  • Anesthesiology Physician
  • Los Angeles, CA
National Provider Identifier
1942741186
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A158442 Issued in CA
Practice address
1450 San Pablo St Suite 3600 (HC4)
Los Angeles, CA 90089-5453
Phone
(323) 442-5643
NPI assigned
Mar 20, 2017
Last updated
Oct 24, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A158442 CA Primary

Addresses

Primary practice location

1450 San Pablo St Suite 3600 (HC4)
Los Angeles, CA 90089-5453

Mailing address

1450 San Pablo St Ste 3600
Los Angeles, CA 90033-5332
Phone (323) 442-5643

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240808004049 TX Practitioner - Anesthesiology 2769887157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Texas Medical School at Houston, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allen Anesthesia AssociatesGroup PAC ID 2264477140, 94 clinicians

Practice addresses (Care Compare)

4510 Medical Ctr Dr
Suite 211
McKinney, TX 75069-1602
Phone (469) 541-1600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A158442CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allen Anesthesia Associates CurrentSince Jun 18, 2024 Accepting new patients

Locations

1105 Central Expy N
Ste 210
Allen, TX 75013
Phone (972) 747-4646

906 W McDermott Dr
Allen, TX 75013
Phone (918) 812-4755

4401 Coit Rd
Ste 100
Frisco, TX 75035
Phone (214) 619-0120

5500 Frisco Square Blvd
Frisco, TX 75034
Phone (214) 618-0500

4500 Medical Center Dr
McKinney, TX 75069
Phone (972) 547-8190

4510 Medical Center Dr
Ste 211
McKinney, TX 75069
Phone (469) 541-1600

5252 W University Dr
McKinney, TX 75071
Phone (469) 764-1000

8080 State Highway 121
Ste 100
McKinney, TX 75070
Phone (214) 547-2700

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1942741186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 SAN PABLO ST STE 3600",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900335332",
            "telephone_number": "323-442-5643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 SAN PABLO ST SUITE 3600 (HC4)",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900895453",
            "telephone_number": "323-442-5643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAN",
        "first_name": "KEVIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-20",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A158442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.