ALISA YANG (MD) – Internal Medicine Physician, NPI 1043284979

ALISA YANG (MD) is a healthcare provider. based in Panorama city, California. specializing in INTERNAL MEDICINE, GERIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. A80019 (CA). The NPI Number for ALISA YANG (MD) is 1043284979

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
ALISA YANG (MD)
NPI
1043284979
Phone
(818) 375-3735
Address
13640 ROSCOE BLVD
Enumeration Date
15 February 2006
Last Update Date
1 December 2021

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8183752000
Graduation Year
2001 (25 years ago)
PAC ID
5193759231
Group Practice PAC ID
6002729175
Professional Enrollment ID
I20050919000938
Address ID
CA914023904PA13640BLVD300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

21,558 INTERNAL MEDICINE in CA

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Provider Addresses for ALISA YANG (MD)

  • Roscoe Boulevard, Panorama City, Los Angeles, Los Angeles County, California, 91331-6020, United States

    PANORAMA CITY, CA 914023904

    Phone: (818) 375-3735

    Type: Mailing

  • Congress Street, Pasadena, Los Angeles County, California, 91105, United States

    SUITE 208

    PASADENA, CA 911053045

    Phone: (626) 792-2166

    Fax: (626) 795-0740

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-09-19

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050919000938IInternal MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 91402)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002729175View full group profile
NameSpecialtyState
U R O L O G YOH
Nurse PractitionerCA
Internal MedicineCA
Internal MedicineCA
Physician AssistantCA
N E U R O L O G YCA
Internal MedicineCA
O B S T E T R I C S/ G Y N E C O L O G YCA
Family Practice, Sports MedicineCA
Internal MedicineNY

Reviews

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Frequently asked questions

Does ALISA YANG (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — ALISA YANG (MD) uses 1043284979.
Can I rely on ALISA YANG (MD) being an active provider?
As of the registry snapshot, ALISA YANG (MD) is marked active.
What is ALISA YANG (MD) best known for clinically?
Directory data describes ALISA YANG (MD) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for ALISA YANG (MD)?
ALISA YANG (MD)'s geographic hint is Panorama City, California in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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