Individual provider Active NPI

Chieh-Jen Calvin Yang, MD.,

  • Diagnostic Radiology Physician
  • Alhambra, CA
National Provider Identifier
1982646022
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A45194 Issued in CA
Practice address
320 S Garfield Ave
Suite #102
Alhambra, CA 91801-3886
Phone
(626) 281-4487
Fax
(626) 457-5630
NPI assigned
Jun 12, 2006
Last updated
Aug 4, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X
Diagnostic Radiology Physician 2085R0202X A45194 CA Primary

Addresses

Primary practice location

320 S Garfield Ave
Suite #102
Alhambra, CA 91801-3886

Mailing address

320 S Garfield Ave
Suite #102
Alhambra, CA 91801-3886
Phone (626) 281-4487

Other identifiers 1

IdentifierTypeStateIssuer
00A451940MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061023000244 CA Practitioner - Diagnostic Radiology 2466459102 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45194CAMDPharmacist
A45194CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Premier Physicians Inc Diagnostic Radiology CurrentSince Jan 17, 2022 Accepting new patients

Locations

235 S Garfield Ave
Alhambra, CA 91801
Phone (626) 943-9985

320 S Garfield Ave
Ste 102
Alhambra, CA 91801
Phone (626) 281-0124

312 N Garfield Ave
Monterey Park, CA 91754
Phone (626) 572-2889

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1982646022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 S GARFIELD AVE",
            "address_2": "SUITE #102",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918013886",
            "telephone_number": "626-281-4487",
            "fax_number": "626-457-5630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 S GARFIELD AVE",
            "address_2": "SUITE #102",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918013886",
            "telephone_number": "626-281-4487",
            "fax_number": "626-457-5630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "CHIEH-JEN",
        "middle_name": "CALVIN",
        "name_prefix": "Dr.",
        "credential": "MD.,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A45194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A451940",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

Verify at the official NPI Registry.