Organization Active NPI

David Yang D.P.M. Inc.

  • Foot Surgery Podiatrist
  • Irvine, CA
National Provider Identifier
1982717039
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
E4603 Issued in CA
Legal business name
DAVID YANG D.P.M. INC.
Practice address
18 Endeavor Ste 206
Irvine, CA 92618-3181
Phone
(949) 250-8881
Fax
(949) 250-8883
NPI assigned
Aug 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Authorized official

Name
David Yang, DPMNPI 1013961788
Title
President / Ceo
Phone
(714) 697-5795

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X E4603 CA Primary

Addresses

Primary practice location

18 Endeavor Ste 206
Irvine, CA 92618-3181

Mailing address

18 Endeavor Ste 206
Irvine, CA 92618-3181
Phone (714) 697-5795

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060310000661 CA Part B Supplier - Clinic/Group Practice 3476560780 Receives reassigned benefits from 1 practitioner
Practice locations: Irvine, CA
O20100930087625 CA DME Supplier - Physician - Podiatry 3476560780 Practice locations: Irvine, CA

National Provider Directory

National Provider Directory

Locations

14775 Jeffrey Rd
Ste A
Irvine, CA 92618
Phone (949) 302-4258

20072 SW Birch St
Newport Beach, CA 92660
Phone (949) 514-8602

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1982717039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 ENDEAVOR STE 206",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183181",
            "telephone_number": "714-697-5795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 ENDEAVOR STE 206",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183181",
            "telephone_number": "949-250-8881",
            "fax_number": "949-250-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID YANG D.P.M. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "714-697-5795",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CA",
            "license": "E4603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.