Active NPI
Tran Luu Yang, BCBA
- Clinical Psychologist
- Santa Ana, CA
National Provider Identifier
1982946588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3677
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3677 | OR | MD | Clinical Psychologist |
| 33496 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Footprints Behavioral Interventions, Inc. | Past | Accepting new patients | |
| Footprints Behavior Interventions | Past | 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.
-
- Clinical Psychologist
- Newport Beach, CA
- NPI 1427128156
-
- Community/Behavioral Health Agency
- Fountain Valley, CA
- NPI 1770004830
-
- Early Intervention Provider Agency
- Santa Ana, CA
- NPI 1780978858
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.