Individual provider Active NPI

Tran Luu Yang, BCBA

  • Clinical Psychologist
  • Santa Ana, CA
National Provider Identifier
1982946588
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3677 Issued in OR
Practice address
1901 Carnegie Ave
Santa Ana, CA 92705-5504
Phone
(562) 739-4931
NPI assigned
Mar 21, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Behavior Analyst 103K00000X 1-13-13165 CA
Behavior Analyst 103K00000X
Clinical Psychologist 103TC0700X 3677 OR Primary

Addresses

Primary practice location

1901 Carnegie Ave
Santa Ana, CA 92705-5504

Mailing address

11943 Centralia St
Lakewood, CA 90715-1435
Phone (562) 739-4931

Other practice location 1

11943 Centralia St
Lakewood, CA 90715-1435
Phone (562) 739-4931

Other practice location 2

2621 Oswell St
Bakersfield, CA 93306-3172
Phone (562) 739-4931

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address tluu@autismfootprints.com
Direct Messaging Address tluuyang@kernbhrs.org

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250729000618 CA Practitioner - Clinical Psychologist 7810404472 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3677ORMDClinical Psychologist
33496CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Footprints Behavioral Interventions, Inc. PastSince Aug 2, 2020 Accepting new patients
Footprints Behavior Interventions PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1982946588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11943 CENTRALIA ST",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907151435",
            "telephone_number": "562-739-4931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 CARNEGIE AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927055504",
            "telephone_number": "562-739-4931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11943 Centralia St",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CA",
            "postal_code": "907151435",
            "country_code": "US",
            "telephone_number": "562-739-4931",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2621 Oswell St",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933063172",
            "country_code": "US",
            "telephone_number": "562-739-4931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUU YANG",
        "first_name": "TRAN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-21",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-13-13165",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "3677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tluu@autismfootprints.com",
            "affiliation": "N",
            "address_1": "1901 Carnegie Ave",
            "city": "Santa Ana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927055504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tluuyang@kernbhrs.org",
            "affiliation": "N",
            "endpointDescription": "kernbhrs",
            "address_1": "2621 Oswell St",
            "city": "Bakersfield",
            "state": "CA",
            "country_code": "US",
            "postal_code": "933063172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.