Active NPI
Marcos Yang MD Inc
- Family Medicine Physician
- Palos Verdes Estates, CA
National Provider Identifier
1982908463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A49035
- Legal business name
- MARCOS YANG MD INC
- Practice address
- 310 Tejon PL
Palos Verdes Estates, CA 90274-1204 - Phone
- (310) 375-2403
- Fax
- (310) 375-9652
- NPI assigned
- Dec 27, 2010
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Marcos Y. Yang, MD
- Title
- President/Owner
- Phone
- (310) 375-2403
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Palos Verdes Estates, CA
- NPI 1023087392
CA, Family Medicine
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0548628 | Marcos Yang, MD | Certificate of waiver | Apr 11, 2027 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101228000852 | CA | Part B Supplier - Clinic/Group Practice | 5395933808 |
Receives reassigned benefits from 1 practitioner Practice locations: Palos Verdes Estates, CA |
National Provider Directory
National Provider DirectoryLocations
310 Tejon Pl
#P
Palos Verdes Estates, CA 90274
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A49035 | CA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
310 Tejon PL
Palos Verdes Estates, CA 90274-1204
Mailing address
310 Tejon PL
Palos Verdes Estates, CA 90274-1204
Phone (310) 375-2403
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05D0548628 | Other | CA | CLIA |
| 00A490350 | Medicaid | CA |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 22, 2025.
{
"created_epoch": "1293408000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1766361600000",
"number": "1982908463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 TEJON PL",
"city": "PALOS VERDES ESTATES",
"state": "CA",
"postal_code": "902741204",
"telephone_number": "310-375-2403",
"fax_number": "310-375-9652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 TEJON PL",
"city": "PALOS VERDES ESTATES",
"state": "CA",
"postal_code": "902741204",
"telephone_number": "310-375-2403",
"fax_number": "310-375-9652"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARCOS YANG MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-27",
"last_updated": "2025-12-22",
"certification_date": "2025-12-22",
"status": "A",
"authorized_official_last_name": "YANG",
"authorized_official_first_name": "MARCOS",
"authorized_official_middle_name": "Y.",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "310-375-2403",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "A49035",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "05D0548628",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A490350",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palos Verdes Estates, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.